bluuebunny/crossref_metadata_2025 huggingface dataset:
An Online Shared Decision-making Intervention for Dementia Prevention: A Parallel-group Randomized Pilot Study
Authors: Ownby Raymond L. , Davenport Rosemary
Published: December 2023

Objectives:

Evaluate the acceptability and efficacy of an online dementia prevention intervention
based on a cognitive behavioral shared decision-making model.

Materials and Method:

This was an unblinded pilot study in which participants were randomly
assigned to one of two treatment groups. This study was carried out remotely via telephone, video
conferencing, and online data collection. Eighteen English-speaking persons 40 years of age and
older interested in developing more brain-healthy lifestyles. Both groups received 12 weekly sessions
on lifestyle factors related to cognitive decline. The treatment-as-usual (TAU) group received
the information and was encouraged to make lifestyle changes. The cognitive behavioral shared decision-
making model (CBSDM) group received structured weekly sessions with support for evidence-
informed personal goal choices and behavior change strategies. Primary outcome measures
were the Alzheimer's Disease Risk Inventory and the Memory Self-Efficacy and Dementia
Knowledge Assessment Scales. Participants reported brain health activities during the first, sixth,
and 12th weeks of the study.

Results:

No significant between-group changes were seen in the three primary outcome measures.
The intervention was viewed positively by participants, who all said they would participate in it
again. Participants in the CBSDM group showed increases in knowledge of dementia risk factors
and exercise. Other outcomes were consistent with moderate to large effect sizes for both groups.

Conclusion:

An online intervention providing psychoeducation and behavior change support was
viewed positively by older adults. Results provide preliminary support for the CBSDM intervention’s
efficacy in promoting brain health in older adults.

Clinical Trial Registration Number:

NCT04822129.
In Search of Novel SGLT2 Inhibitors by High-throughput Virtual Screening
Authors: Debnath Abhijit , Sharma Shalini , Mazumder Rupa , Mazumder Avijit , Singh Rajesh , Kumar Ankit , Dua Arpita , Singhal Priya , Kumar Arvind , Singh Gurvinder
Published: December 2023

Background:

Type 2 diabetes mellitus constitutes approximately 90% of all reported forms
of diabetes mellitus. Insulin resistance characterizes this manifestation of diabetes. The prevalence of
this condition is commonly observed in patients aged 45 and above; however, there is an emerging
pattern of younger cohorts receiving diagnoses primarily attributed to lifestyle-related variables, including obesity, sedentary behavior, and poor dietary choices. The enzyme SGLT2 exerts a negative regulatory effect on insulin signaling pathways, resulting in the development of insulin resistance and subsequent elevation of blood glucose levels. The maintenance of glucose homeostasis relies on the proper
functioning of insulin signaling pathways, while disruptions in insulin signaling can contribute to the
development of type 2 diabetes.

Objective:

Our study aimed to investigate the role of SGLT2. This enzyme interferes with insulin signaling pathways and identifies potential SGLT2 inhibitors as a treatment for managing type 2 diabetes.

Methods:

We screened the Maybridge HitDiscover database to identify potent hits followed by druglikeness, Synthetic Accessibility, PAINS alert, toxicity estimation, ADME assessment, and Consensus
Molecular docking

Results:

The screening process led to the identification of three molecules that demonstrated significant
binding affinity, favorable drug-like properties, effective ADME, and minimal toxicity.

Conclusion:

The identified molecules could manage T2DM effectively by inhibiting SGLT2, providing
a promising avenue for future therapeutic strategies
Discovering Microbe-disease Associations with Weighted Graph
Convolution Networks and Taxonomy Common Tree
Authors: Xing Jieqi , Shi Yu , Su Xiaoquan , Wu Shunyao
Published: December 2023

Background:

Microbe-disease associations are integral to understanding complex diseases
and their screening procedures.

Objective:

While numerous computational methods have been developed to detect these associations,
their performance remains limited due to inadequate utilization of weighted inherent similarities
and microbial taxonomy hierarchy. To address this limitation, we have introduced
WTHMDA (weighted taxonomic heterogeneous network-based microbe-disease association), a
novel deep learning framework.

Methods:

WTHMDA combines a weighted graph convolution network and the microbial taxonomy
common tree to predict microbe-disease associations effectively. The framework extracts multiple
microbe similarities from the taxonomy common tree, facilitating the construction of a microbe-
disease heterogeneous interaction network. Utilizing a weighted DeepWalk algorithm, node
embeddings in the network incorporate weight information from the similarities. Subsequently, a
deep neural network (DNN) model accurately predicts microbe-disease associations based on this
interaction network.

Results:

Extensive experiments on multiple datasets and case studies demonstrate WTHMDA's
superiority over existing approaches, particularly in predicting unknown associations.

Conclusion:

Our proposed method offers a new strategy for discovering microbe-disease linkages,
showcasing remarkable performance and enhancing the feasibility of identifying disease risk.
Stacking-Kcr: A Stacking Model for Predicting the Crotonylation Sites of
Lysine by Fusing Serial and Automatic Encoder
Authors: Liang Ying , Li Suhui , You Xiya , Guo You , Tang Jianjun
Published: December 2023

Background:

Protein lysine crotonylation (Kcr), a newly discovered important posttranslational
modification (PTM), is typically localized at the transcription start site and regulates
gene expression, which is associated with a variety of pathological conditions such as developmental
defects and malignant transformation.

Objective:

Identifying Kcr sites is advantageous for the discovery of its biological mechanism and
the development of new drugs for related diseases. However, traditional experimental methods for
identifying Kcr sites are expensive and inefficient, necessitating the development of new computational
techniques.

Methods:

In this work, to accurately identify Kcr sites, we propose a model for ensemble learning
called Stacking-Kcr. Firstly, extract features from sequence information, physicochemical properties,
and sequence fragment similarity. Then, the two characteristics of sequence information and
physicochemical properties are fused using automatic encoder and serial, respectively. Finally, the
fused two features and sequence fragment similarity features are then respectively input into the
four base classifiers, a meta classifier is constructed using the first level prediction results, and the
final forecasting results are obtained.

Results:

The five-fold cross-validation of this model has achieved an accuracy of 0.828 and an
AUC of 0.910. This shows that the Stacking-Kcr method has obvious advantages over traditional
machine learning methods. On independent test sets, Stacking-Kcr achieved an accuracy of
84.89% and an AUC of 92.21%, which was higher than 1.7% and 0.8% of other state-of-the-art
tools. Additionally, we trained Stacking-Kcr on the phosphorylation site, and the result is superior
to the current model.

Conclusion:

These outcomes are additional evidence that Stacking-Kcr has strong application potential
and generalization performance.
Mechanism of Houpu Wenzhong Decoction in the Treatment of Chronic
Gastritis and Depression Based on Network Pharmacology and Molecular
Docking
Authors: Zhang Liang , Yu Wenying
Published: December 2023

Objective:

The study aimed to discuss the possible mechanisms of Houpu Wenzhong
Decoction in the treatment of chronic gastritis and depression based on network pharmacology
and molecular docking.

Methods:

The chemical components and corresponding targets of seven crude drugs in Houpu
Wenzhong Decoction were retrieved from the database TCMSP. The targets for treating chronic
gastritis and depression were obtained from the database GeneCards. STRING 11.5 was used to
establish the protein-protein interaction network of common targets among “chemical components-
chronic gastritis-depression”, and then Cytoscape was employed for visual analysis. The
targets with the top ten degrees were selected as key targets, which were then imported to BioGPS
to obtain the distribution in organs and tissues. The common targets were analyzed via Go and
KEGG pathway enrichment analyses using Metascape. The top ten degrees of active components
were verified by molecular docking of key targets.

Results:

Under the conditions of OB ≥ 30% and DL ≥ 0.18, a total of 144 chemical components
and related 251 targets of Houpu Wenzhong Decoction were retrieved. 1192 and 12902 targets
were retrieved for chronic gastritis and depression from the GeneCards database, respectively. 104
common targets were obtained by intersection among the two diseases and drug targets. The key
common targets have been found to be mainly distributed in organs and tissues, such as the adrenal
cortex, amygdala, appendix, adrenal gland, colorectal, liver, and prostates, as observed through
BioGPS analysis. 5141 biological processes, 354 cell components, and 615 molecular functions
were obtained by GO functional enrichment analysis, and 302 signal pathways were obtained by
KEGG enrichment analysis. Among these, IL-17, TNF, PI3K-Akt, and toll-like receptor signaling
pathway have been found to be involved. Molecular docking results showed the key active components,
naringenin and hesperidin, to have good binding activities with targets STAT3 and Jun.

Conclusion:

104 common targets between chronic gastritis and depression have been obtained as
the basis for Houpu Wenzhong Decoction to treat the two diseases. The ten key active ingredients
have been found to act on 15 key signal pathways through 104 common key targets to treat the
two diseases.
“Non δίγλωττον aut τρίγλωττον neque πεντάγλωττον, sed παντάγλωττον?” The polyglot Anna Maria van Schurman (1607–1678) and her (Latin–Greek) code-switching
Authors: Beek Pieta van
Published: December 2023

Anna Maria van Schurman, the first female university student in 1636, was not only proficient in every language (παντάγλωττον) as the learned poet Jacobus Martin from Paris wrote, but in at least fourteen languages. Her multilingualism is not only visible in her bestseller Opuscula Hebraea Graeca Latina et Gallica, prosaica et metrica, but also in her other books  and works of art.  I will give an overview of her knowledge of languages and how she acquired and used them. Then I will examine her (Latin-Greek) Code-Switching,  considering why she practiced it, how it differed from her male and female contemporaries and how it changed when she became a Labadist.   
Evolution and future perspectives of scientific journals in Peruvian public universities
Authors: Reategui-Inga Manuel , Rojas Eli Morales , Fernandez-Zarate Franklin Hitler , Villarroel Roger Álvaro Fernández , Ferro Pompeyo , Valdiviezo Wilfredo Alva , Alvarez Manuel Ñique , Lu José Kalión Guerra , Zamora Edilberto César Dávila
Published: December 2023

This study rigorously examines the evolution and future prospects of scientific journals in Peru, with a particular focus on those affiliated with state-sanctioned public universities. The research includes a comprehensive evaluation of the official online resources of each university, following the list sanctioned by the Superintendencia Nacional de Educación Superior Universitaria (SUNEDU). This research includes journals included in the Sistema Regional de Información en Líneo para Revistas Científicas de América Latina, el Caribe, España y Portugal (Latindex Catálogo 2.0), as well as those indexed in prominent databases such as SciELO, Web of Science (WOS), and Scopus. Using careful data analysis methods, including tabulation in Excel and Minitab 19, the study identified 205 scientific journals. Of these, 51 are indexed in at least one of the aforementioned databases, while 154 remain unindexed, highlighting a significant challenge for editorial teams. In particular, only four journals are indexed in Scopus, mainly from the Universidad Nacional Mayor de San Marcos and the Universidad Nacional de Trujillo. The research concludes that the development of these journals is significantly correlated with their Google Scholar h-index. The results argue for greater support for public universities to promote the indexing of their scholarly journals, thereby increasing the visibility and impact of their research on regional, national, and international platforms. Future strategies should include incentive policies to encourage scholarly contributions to locally based journals.
Designing Telemedicine for Older Adults With Multimorbidity: Content Analysis Study
Authors: Buawangpong Nida , Pinyopornpanish Kanokporn , Pliannuom Suphawita , Nantsupawat Nopakoon , Wiwatkunupakarn Nutchar , Angkurawaranon Chaisiri , Jiraporncharoen Wichuda
Published: December 2023

Background

Telemedicine is a potential option for caring for older adults with multimorbidity. There is a need to explore the perceptions about telemedicine among older adults with multimorbidity to tailor it to the needs of older adults with multiple chronic conditions.

Objective

This study aims to explore the perceptions about telemedicine among older patients with multimorbidity.

Methods

A qualitative study was conducted using semistructured interviews. The interview questions examined older adults’ perspectives about telemedicine, including their expectations regarding telemedicine services and the factors that affect its use. Thematic analysis was performed using NVivo (version 12; Lumivero). The study was reported using the Standards for Reporting Qualitative Research guidelines.

Results

In total, 29 patients with multimorbidity—21 (72%) female patients and 8 (28%) male patients with a mean age of 69 (SD 10.39) years—were included. Overall, 4 themes and 7 subthemes emerged: theme 1—perceived benefit of telemedicine among older adults with multimorbidities, theme 2—appropriate use of telemedicine for multimorbid care, theme 3—telemedicine system catering to the needs of older patients, and theme 4—respect patients’ decision to decline to use telemedicine.

Conclusions

Telemedicine for older adults with multimorbidity should focus on those with stable conditions. This can help increase access to care for those requiring continuous condition monitoring. A structured telemedicine program and patient-centered services can help increase patient acceptance of telemedicine. However, health care providers must accept the limitations of older patients that may prevent them from receiving telemedicine services.
Patient Phenotyping for Atopic Dermatitis With Transformers and Machine Learning: Algorithm Development and Validation Study
Authors: Wang Andrew , Fulton Rachel , Hwang Sy , Margolis David J , Mowery Danielle
Published: December 2023

Background

Atopic dermatitis (AD) is a chronic skin condition that millions of people around the world live with each day. Performing research into identifying the causes and treatment for this disease has great potential to provide benefits for these individuals. However, AD clinical trial recruitment is not a trivial task due to the variance in diagnostic precision and phenotypic definitions leveraged by different clinicians, as well as the time spent finding, recruiting, and enrolling patients by clinicians to become study participants. Thus, there is a need for automatic and effective patient phenotyping for cohort recruitment.

Objective

This study aims to present an approach for identifying patients whose electronic health records suggest that they may have AD.

Methods

We created a vectorized representation of each patient and trained various supervised machine learning methods to classify when a patient has AD. Each patient is represented by a vector of either probabilities or binary values, where each value indicates whether they meet a different criteria for AD diagnosis.

Results

The most accurate AD classifier performed with a class-balanced accuracy of 0.8036, a precision of 0.8400, and a recall of 0.7500 when using XGBoost (Extreme Gradient Boosting).

Conclusions

Creating an automated approach for identifying patient cohorts has the potential to accelerate, standardize, and automate the process of patient recruitment for AD studies; therefore, reducing clinician burden and informing the discovery of better treatment options for AD.
Effectiveness of Different Telerehabilitation Strategies on Pain and Physical Function in Patients With Knee Osteoarthritis: Systematic Review and Meta-Analysis (Preprint)
Authors: Xiang Wu , Wang Jun-Yu , Ji Bing-jin , Li Li-Jun , Xiang Han
Published: December 2023

BACKGROUND

Knee osteoarthritis (OA) is a chronic, degenerative bone and joint disease. It can lead to major pressure to the quality of life and mental health of patients, and also brings a serious economic burden to society. However, it is difficult for patients with knee OA to access rehabilitation when discharging from the hospital. Internet-based rehabilitation is one of the promising telemedicine strategies for the improvement of knee OA, but the effect of different telerehabilitation strategies on knee OA is not clear.

OBJECTIVE

The aim of this systematic review and meta-analysis was to identify telerehabilitation strategies attributing to the improvement of pain and physical function outcomes in patients with knee OA.

METHODS

We reviewed and analyzed telerehabilitation strategies from randomized controlled trials (RCTs) comparing telerehabilitation with conventional treatment or usual care. For each strategy, we examined whether RCTs that applied the telerehabilitation strategy resulted in a significant improvement in pain or physical function compared with conventional treatment or usual care.

RESULTS

We included 6 RCTs (n=734) incorporating 8 different telerehabilitation strategies. The duration of the interventions ranged from 1 to 48 weeks, and sample sizes ranged from 20 to 350 patients. The results showed that RCTs that provided telerehabilitation were found to be more effective than conventional treatments for improving pain (P=.003; standardized mean difference [SMD] –0.21, 95% CI –0.35 to –0.07), but not physical function (P=.24; SMD –0.09, 95% CI –0.25 to 0.06). Furthermore, this systematic review and meta-analysis indicated that there is no significant correlation between different telerehabilitation strategies and the pain and physical function of patients with knee OA.

CONCLUSIONS

This systematic review and meta-analysis showed that telerehabilitation programs could relieve pain but not improve physical function for patients with knee OA. These results indicated that telerehabilitation is beneficial for the implementation of home rehabilitation exercises for patients with knee OA, thereby reducing the economic burden of health. However, there were limitations in terms of the number of search results and the number of studies that were eligible for this review and meta-analysis. Therefore, the results need to be interpreted with caution, and more high-quality studies with large samples are needed to focus on the long-term outcomes of telerehabilitation for patients with knee OA to address this limitation.
An evaluation of the quality and readability of online information regarding hoarseness using EQIP tool (Preprint)
Authors: Ko Tsz Ki , Tan Denise Jia Yun , Fan Ka Siu , Stimpson Paul , Andrews Peter , Shamil Eamon
Published: December 2023

BACKGROUND

Hoarseness is a common presentation. It can be a symptom of treatable conditions like laryngitis, vocal overuse, or gastroesophageal reflux, but it can also be symptomatic of laryngeal cancer.

OBJECTIVE

The aim was to identify online website quality information available to the public regarding hoarseness.

METHODS

Search terms including “Loss of voice”,” Voice change”, “Hoarseness”, “Dysphonia”, “Croaky voice”, “Laryngeal cancer”, “Throat cancer”, “Head and neck cancer”, “Nasopharyngeal cancer”, and “Voicebox cancer” were used. Quality of information was assessed with the Ensuring Quality Information for Patient (EQIP) tool, Flesch Reading Ease Score (FRES), Flesch-Kincaid Grade Level (FKGL), and Gunning-Fog Index (GFI) readability tools.

RESULTS

100 websites were included, overall mean EQIP score 22, with an interquartile range 10 and maximum score 33. 70% did not mention safety netting advice and only 21% mentioned to seek medical advice from healthcare professionals if symptoms remain. Only 27% achieved the recommended 6th grade or below readability level.

CONCLUSIONS

The online information on hoarseness is of reasonable quality, but potentially not readable enough for demographics with lower educational attainment.
Mediating effect of self-efficacy and rumination in the relationship between adult traumatic experience and post-traumatic growth
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Park Jisun , Hong Jiyoung
Published: December 2023

Objectives This study aimed to investigate whether self-efficacy and deliberate rumination are mediating in sequence in relation to Adult traumatic experiences and post-traumatic growth.
Methods For the study, pre-screening questionnaires were conducted to adult men and women living in area J to confirm whether or not they have traumatic experiences, and only those who have experienced traumatic experiences received consent to participate in the study. A survey was conducted to adult 400 subjects(female=142, male=107) who agreed to the study and Trauma Experience Questionnaire(EQ), Self-Efficacy Scale, Intentional Reflective Scale, and the Korean version of Posttraumatic Growth Scale(K-PTGI) were used as measuring tools. Of them, 249 valid data were used as final analysis to meet both requirements, 1) traumatic experience less than 10 years and 2) The degree of distress for the traumatic experience is above average (a score of 5 or higher). For the analysis, sequential multi mediating effects’ verification was conducted and the validity of indirect effect was investigated through a Bootstrapping’s method.
Results The analysis results were as follows. First, in relations with traumatic experiences and post-traumatic growth, self-efficacy’s partial mediating effects were found. Second, in relations with traumatic experiences and post-traumatic growth, deliberate rumination’s mediating effects were not found. Third, Traumatic experiences had sequential mediating effects on self-efficacy and deliberate rumination, thus having impacts on post-traumatic growth.
Conclusions This study verified that self-efficacy and deliberate rumination are important variables in achieving growth by overcoming trauma. This is a result that suggests that counseling intervention using self-efficacy and deliberate rumination is effective in overcoming trauma to clients who have experienced trauma.
Analyze Middle School Students' Digital Literacy Needs
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Min Hyelim , Leem Choonseong
Published: December 2023

Objectives This study investigated middle school students' awareness of the importance and implementation of digital literacy and their educational needs, analyzed it according to residential area (metropolitan area, non-metropolitan area), and identified priorities. Through this, implications for the direction of digital literacy education design were obtained. wanted to obtain.
Methods To achieve the purpose of this study, data were collected from 258 junior high school students living in the metropolitan area and non-metropolitan area for about 15 days from July 15, 2023, using a questionnaire based on previous studies. IBM SPSS 26.0 was used to process the data, and the paired sample t-test, Borich needs analysis, and TLfF model (The Locus for Focus Model) were used.
Results First, we examined the difference between the importance and practice of digital literacy as perceived by middle school students, and found that the perceived level of importance was higher than the current practice in all areas. Second, we derived priorities using Borich needs analysis and The Locus for Focus Model (TLfF Model), and found that digital thinking skills and digital tools were highly demanded. Third, by region of residence (metropolitan area, non-metropolitan area), the perceived importance was highest for digital information protection in both the metropolitan area and non-metropolitan area, and the implementation level was highest for digital communication and collaboration in the metropolitan area and digital resource utilization in the non-metropolitan area. Fourth, as a result of deriving priorities using the Borich needs map and TLfF model by region of residence (metropolitan area, non-metropolitan area), the highest level of need was observed in the metropolitan area, followed by digital thinking skills, digital tools, and digital information protection, while the highest level of need was observed in the non-metropolitan area, followed by digital thinking skills, digital tools, and the ability to create and express digital content.
Conclusions These findings can be utilized as guidelines and basic information for closing the digital literacy education gap and contribute to actively responding to future social changes and improving students' digital literacy capabilities by implementing digital literacy education in a desirable direction.
The Dual Mediating Effects of Search for Meaning and Presence of Meaning in the Relationship between Motivation to Participate in Learning and Subjective Well-Being in the Middle-Aged Female Later Learners
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Yeo Jeong Mi , Lee Soo Jin
Published: December 2023

Objectives The purpose of this study was to identify the relationship between motivation to participate in learning on subjective well-being among middle-aged female later learners entering a college degree program and to investigate the dual mediating effects of search for meaning and presence of meaning in the relationship.
Methods A total of 245 middle-aged female later learners aged 40 to 65 years who were enrolled in colleges in Busan. completed the questionnaires to measure motivation to participate in learning, subjective well-being, search for meaning and presence of meaning. Pearson correlation analysis and Process Macro model 6 were used to analyze the relationship between subjective well-being and motivation to participate and dual mediation effect of search for meaning and presence of meaning in the relationship, respectively. Additionally, bootstrapping was conducted to verify the significance of the mediation effect.
Results First, motivation to participate in learning was positively related to search for meaning, presence of meaning and subjective well-being. Second, there was no medication effect of search for meaning in the relationship between motivation to participate in learning and subjective well-being. Third, there was a mediating effect in presence of meaning the relationship between motivation to participate in learning and subjective well-being. Fourth, there was a dual mediation of search for meaning and presence of meaning in the relationship between motivation to participate in learning and subjective well-being.
Conclusions This study could provide empirical support for possible specific interventions to enhance subjective well-being in among middle-aged female later learners.
The Trends and Keywords Analysis of Research in STEAM instruction: Focused on the Academic Journal Published from 2011 to 2022
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, YUN Ga-young , SHIN Jurang
Published: December 2023

Objectives The purpose of this study was to analyze trends in interdisciplinary education by focusing on elementary and middle school STEAM classes and to identify specific attributes inherent in STEAM instruction.
Methods To achieve the research objectives, we analyzed trends in STEAM education instruction and conducted keyword network analysis. The “Excel” and “Textom” program was used as a research tool. Also, research types, grade levels, instructional objectives, utilized technologies, subjects, teaching methods, and instruction effects were examined by utilizing framework divided into external and content dimensions.
Results The findings of this study are as follows: Firstly, research on STEAM instruction has been consistently conducted from 2011 to September 2022, primarily published in academic journals covering topics such as information, technology, practical arts, science, and art. Main keywords revealed terms such as education, integration, class, program, science, elementary, and technology. Secondly, research on STEAM instruction consisted of empirical studies. The grade levels involved were elementary school, middle school, and high school, in that order. The primary objective of STEAM instruction was curriculum education, involving various subjects with a particular emphasis on science. A total of 61 different technologies were introduced and applied to STEAM instruction, including robotics, VR, AR, AI, and 5G, indicating an observation of technological trends through STEAM instruction. PBL classes revolving around problems or projects constituted the majority of STEAM instruction, and the effects of STEAM instruction encompassed class satisfaction, problem-solving ability, creativity, and more.
Conclusions This study examined trends in STEAM instruction, providing significance through the differentiation and analysis of external and content dimensions. Given that the study focused on analyzing actual STEAM instruction, it will aid in understanding and referencing practical aspects such as trends in STEAM instruction and curriculum composition for STEAM instruction.
Effects of Simulation Education for Acute Deteriorating Patient Care using Clinical Case-based SBAR on Communication Clarity, Communication Confidence, and Clinical Reasoning Competency of Nursing Students
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Hwang A-Reum , Lee Ju-Ry
Published: December 2023

Objectives The purposes of this study was to identify the effect of nursing simulation education for acute deteriorating patients using clinical case-based SBAR on communication clarity, communication confidence, and clinical reasoning competency.
Methods This quasi-experimental study used a one group pre-post design. The participants were 41 nursing students. A survey to collect data was conducted twice, before and after education. Data were analyzed using the SPSS 23.0 program with descriptive statistics and paired t-test.
Results Communication clarity (t=7.906, p<.001), communication confidence (t=24.623, p<.001) and clinical reasoning competency (t=6.427, p<.001) were significantly improved after education compared to before.
Conclusions This study is the first study to evaluate the effectiveness of nursing simulation education for acute deteriorating patients conducted in Korea. The results of this study can be used as basic data to develop a nursing education curriculum for patients with deterioration in Korea in the future. In addition, based on the results of this study, if nursing students' competency in nursing patients with acute deterioration is improved by expanding nursing simulation education by applying various contents and teaching methods, it will ultimately contribute to improving the prognosis of patients with acute deterioration.
Nursing college student's experience in virtual reality(VR) simulating nursing practice: Q methodological approach
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Lee Dain
Published: December 2023

Objectives The purpose of this study was to understand the characteristics of nursing students by type, provide evidence for improving the quality of nursing education and developing programs, and present strategies for practical education development by examining and categorizing the structure of nursing students' perception of virtual reality(VR)-based nursing practice experiences through Q methodology.
Methods In order to form a method Q population, a literature review related to VR based simulation nursing practice was conducted after making nursing students write thoughts and feelings about virtual reality based simulation nursing practice experiences. Based on the results derived through this, a total of 34 Q statements were extracted through the work of selecting duplicate or ambiguous sentences. The Q sample statement was classified into a normal distribution table on a 9-point scale by 41 nursing students, and the data collected through this were analyzed using the pc-QUANAL program.
Results As a result of the analysis of the results, four types of VR based simulation nursing practice experienced by nursing students were identified. The first type was VR experience curiosity type, the second type was the nursing knowledge lack awareness type, the third type was the practice content self-reflection type, and the fourth type was the desire type for various clinical experiences.
Conclusions Through this study, it is believed that VR media can be used as basic data for the development of educational programs that can be effectively used in nursing practice and the development of educational media to help them grow as practical experts.
The Mediating Effect of Emotional Expression on the Relationship between Family Health and Teacher-Infant Interaction in Infant Teachers
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Yu Hye Ri , Yang Gon Sung , Ha Yo-Sang
Published: December 2023

Objectives This study aim to explore the mediating effect of infant teacher’s emotional expression on the relationship between family health and teacher-infant interaction.
Methods The data were analyzed from 322 infant teachers in Daejeon, Sejong City, and South Chungcheong Province. Reliability analysis, technical statistics, frequency analysis, correlation analysis, and mediating effect analysis of each scale were conducted using the SPSS 21.0 and PROCESS Macro Model 4.
Results Research results were as follows. First, the correlations between infant teacher's family health, teacher-infant interaction, and emotional expression were significant. Second, the mediating effect of emotional expression was significant in the relationship between family health and teacher-infant interaction.
Conclusions The results of this study suggest that it is important to promote teacher's family health and emotional expression In order to improve the quality of interaction between teachers and young children. Also, It suggests the necessity of finding an intervention method that helps improve positive emotional expression.
Structural Relationship Analysis between Parents' Academic Achievement Pressure, Children's Smartphone Addiction, School Adaptation, and Happiness in the COVID-19 Pandemic of Situation
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Kim Yeon-Joo
Published: December 2023

Objectives This study was conducted to examine the direct and indirect effects of parents' achievement pressure, children's smartphone addiction, and school adaptation on children's happiness.
Methods In order to analyze the influence relationships between variables, the 13th (2020) data of the Parenting Policy Research Institute's Panel Study of Korea Children was collected from 629 children and parents who answered all of the questions out of 2,150. The data was used in the final analysis, and was statistically processed and analyzed through SPSS 21.0 and Amos 21.0 programs.
Results First, the direct influence of parents' achievement pressure on children's smartphone addiction and children's school adaptation and happiness was found to be significant, and the direct influence of children's school adaptation on happiness was also found to be significant. On the other hand, the direct influence of children's smartphone addiction on happiness was found to be insignificant. Second, parents' achievement pressure was found to have an indirect effect through the mediation of children's school adaptation. Third, in the path where parents' achievement pressure affects children's happiness, a sequential double mediating effect of children's smartphone addiction and school adaptation was found. Lastly, the factor that had the greatest impact on children's happiness was found to be the school adaptation variable.
Conclusions The results of this study show that children's school adaptability has the greatest impact in amplifying children's happiness, and suggest the need to develop various counseling programs to relieve parents' achievement pressure and promote smart phone use to promote children's happiness.
Nursing Undergraduates' Smartphone addiction and Academic Procrastination behavior: Serial multiple mediating effects of Self-compassion and Emotional Intelligence
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Ahn JinYeong , Chang HeeKyung , Kim YuMi , Do YoungJoo
Published: December 2023

Objectives The purposes of this study were to o examine the mediating effects of self-compassion and emotional intelligence on smartphone addiction and academic procrastination behavior among nursing undergraduates.
Methods Data was obtained via an online survey conducted from May to June 2023, with senior nursing students and multi-mediating effects were analyzed using the PROCESS macro for SPSS software, utilizing bootstrap techniques.
Results Smartphone addiction showed a negative correlation with self-compassion. Academic procrastination and sma rtphone addiction showed a positive correlation, and self-compassion and emotional intelligence each showed a negative correlation. Smartphone addiction and self-compassion showed a negative correlation. The indirect effect of smartphone on academic procrastination behavior through self-compassion had significant mediating effects(Std. estimate=-.0213, CI: -.0518~.0048). However, emotional intelligence was not a mediating effect (Std. estimate=-.0110, CI: -.0505~.0264). There was a significant indirect effect of smartphone addiction on academic procrastination behavior through self-compassion and emotional intelligence (Std. estimate=.0470, CI: .0217~.0796).
Conclusions The findings highlight the necessity of nursing education interventions for enhancing self-compassion and emotional intelligence, ultimately improving caregiving competency in nursing undergraduates.
The Effects of Emotional Intelligence on Career Stress among University Students majoring in Hotel Restaurant Culinary Arts: Moderating Effects of Career Decision Self-Efficacy
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Jeon Do-hyun , Jang Hwan-yeong , Ko Ju-hee
Published: December 2023

Objectives The effect of emotional intelligence on career stress was investigated and the adjustment effect of career decision self-efficacy was verified in the relationship between emotional intelligence and career stress.
Methods SPSS/WIN 22.0 program was used. Reliability analysis was conducted to verify the validity and reliability of frequency analysis and measurement items. In addition, exploratory factor analysis and correlation analysis were conducted to verify the mutual causal relationship between the constructs, and multiple regression analysis and multiple group analysis were performed.
Results Emotional intelligence of others and self-emotional awareness did not have a significant effect on career stress, but emotional regulation did have a significant effect on career stress. No moderating effect was found.
Conclusions Emotional regulation, which involves controlling one's emotions, controlling one's emotions, and controlling one's mood, has been shown to lower career stress. Therefore, in order to lower career stress, it is considered that universities and instructors need to educate and learn about emotional regulation of college students. In addition, in the relationship between emotional regulation and career stress, it was investigated that the group with high career decision self-efficacy plays a role in lowering career stress compared to the group with low career decision self-efficacy. Therefore, in order to increase career decision-making self-efficacy, it is necessary to perform various activities related to career preparation, such as searching for careers or vocational activities in the school curriculum.
Effectiveness of a clinical trial research course using the team project-based learning for nursing students
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Park Hyeja , Kim Sunki
Published: December 2023

Objectives Project-based learning engages students in practical activities related to course contents and has been demonstrated to improve academic performance. Nurses play a particularly important role in promoting clinical trial research as a new professional workforce. An entry-leveled educational course was developed to learn the future professional workforce roles in clinical trial research for nursing students. This study evaluated the effectiveness of a clinical trial research course on the importance and performance of the clinical research coordinators' role, students' recognized achievement, and cooperative self-efficacy.
Methods Five professional clinical coordinators and two nursing professors developed the four projects on the clinical research processes and roles based on Good Clinical Practice guidelines. Thirteen junior students divided into 4 small groups completed a new project-based clinical research course composed of 8 sessions of clinical field work, discussion, reflection, portfolio, and presentation from September to October 2022. Students responded questionnaires on the importance-performance clinical trial nurses' roles, recognized achievement, and cooperative self-efficacy, and reported the reflective journal on the class. The students' class evaluation data was retrieved and analyzed using importance-performance analysis (IPA) and Wilcoxon signed rank test.
Results Compared to baseline scores, protocol assessment (z=-2.59, p=.010), protocol planning (z=-1.96, p=.050), and subject recruitment (z=-2.16, p=.031) increased among the 8-section of clinical trial coordinator's roles. Additionally professional role recognition increased after the class (z=-2.25, p=.025). IPA analysis exhibited that nursing students recognized the 8-section clinical trial nurses' roles as more important and more performing. The mean score of nursing students' recognized achievement was high (4.96 points out of 5 points), and cooperative self-efficacy was high (4.37 points out of 5 points) after completing a clinical trial research course.
Conclusions An entry-leveled educational course on the clinical trial research using project-based learning may expand the possibility of a new professional career for nursing students.
The Multiple Mediating Effect of Positive Psychological Capital and Social Support on the Relationship between Hopelessness and Happiness of Nursing Freshmen's
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Kim Moon Ok , Kim Mi Jung
Published: December 2023

Objectives The purpose of this study was to examine the effects of hopelessness, positive psychological capital, and social support on happiness among nursing freshman, and to verify the multi-mediating effects of positive psychological capital and social support in the relationship between hopelessness and happiness.
Methods The subjects of this study were 179 nursing freshmen from two universities in G city. A survey was conducted from July 1st to July 31th, 2023. Data analysis was performed using SPSS/WIN 23.0 program to confirm descriptive statistics, t-test, ANOVA, and correlation. And PROCESS macro for SPSS version’s Model 4 was used to verify the mediation effects of positive psychological capital and social support.
Results Nursing freshmen hopelessness had a significant negative correlation on positive psychological capital(r=-.48, p<.001), social support(r=-.49, p<.001) and happiness(r=-.51, p<.001). There was a significant negative correlation between happiness and positive psychological capital(r=.65, p<.001) and social support (r=.72, p<.001), and positive psychological capital was positive correlated with social support. positive psychological capital(b=.006, p=.002) and social support(b=.424, p<.001) were found to partially mediated the relationship between hopelessness and happiness.
Conclusions Based on the results of this study, we discussed and suggested implications for enhancing happiness among nursing freshmen. That is, we suggested multidimensional intervention strategies such as creating opportunities for nursing freshmen to participate in active activities and experience problem-solving to enhance happiness, developing programs for forming various human relationships and interactions within the university.
Educational Significance of Garden Activities Experienced for 3-year-old Infants
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Park Jieun , Jeong Giseop , Kang Hyewon , Hong Seongho
Published: December 2023

Objectives The purpose of this study is to examine the educational meaning and educational growth of proper personality education and environmental education at the educational level through the experience of garden activities.
Methods A total of 6 children in Class B, 3 years old at daycare center A located in Incheon, were selected as study participants. Data collection was conducted three times a week from March 17, 2022 to February 10, 2023, with 11-month observation logs, early childhood interviews, picture data, and participatory observation. In accordance with the data analysis procedure, the process of transcription, coding, and subject generation was analyzed by the research method of inductive analysis procedure and interpretive analysis procedure Hatch.
Results The educational meaning of gardening activities experienced by 3-year-old children was as follows: ‘The beginning of garden play is exciting,’ ‘The artists of garden play are nature and children,’ and ‘Walking play is for you, me, and us together.’ The educational growth shown by the three children was ‘Growing, growing!’ It appeared as ‘growing as a child with character’ and ‘we grow as guardians of the environment’.
Conclusions Through the results of this study, it was confirmed that gardening activities influence the educational growth of sound character and environmental education in 3-year-old children... First, natural activities help children's character education, and second, the experience of natural circulation. Third, sustainable development education begins with small efforts by teachers, so it is necessary to reflect gardening activities in childcare activities for environmental education. Fourth, cooperation between daycare centers and related organizations is needed. There is a need to utilize it. This study is meaningful as an example of how the researcher utilized the garden in the daycare center by reflecting the garden activity in the curriculum to overcome the problems of indoor-centered children's activities in the era of COVID-19.