Acknowledging separable factors underlying negative symptoms may lead to better understanding and treatment of negative symptoms in individuals with schizophrenia. The current study aimed to test whether the negative symptoms factor (NSF) of the Positive and Negative Syndrome Scale (PANSS) would be better represented by expressive and experiential deficit factors, rather than by a single factor model, using confirmatory factor analysis (CFA). Two hundred and twenty individuals with schizophrenia spectrum disorders completed the PANSS; subsamples additionally completed the Brief Negative Symptom (...) Scale (BNSS) and the Motivation and Pleasure Scale—Self-Report (MAP-SR). CFA results indicated that the two-factor model fit the data better than the one-factor model; however, latent variables were closely correlated. The two-factor model’s fit was significantly improved by accounting for correlated residuals between N2 (emotional withdrawal) and N6 (lack of spontaneity and flow of conversation), and between N4 (passive social withdrawal) and G16 (active social avoidance), possibly reflecting common method variance. The two NSF factors exhibited differential patterns of correlation with subdomains of the BNSS and MAP-SR. These results suggest that the PANSS NSF would be better represented by a two-factor model than by a single-factor one, and support the two-factor model’s adequate criterion-related validity. Common method variance among several items may be a potential source of measurement error under a two-factor model of the PANSS NSF. (shrink)

BackgroundAlthough the Life-Sustaining Treatment (LST) Decision Act was enforced in 2018 in Korea, data on whether it is well established in actual clinical settings are limited. Hospital-acquired pneumonia (HAP) is a common nosocomial infection with high mortality. However, there are limited data on the end-of-life (EOL) decision of patients with HAP. Therefore, we aimed to examine clinical characteristics and outcomes according to the EOL decision for patients with HAP.MethodsThis multicenter study enrolled patients with HAP at 16 referral hospitals retrospectively from (...) January to December 2019. EOL decisions included do-not-resuscitate (DNR), withholding of LST, and withdrawal of LST. Descriptive and Kaplan–Meier curve analyses for survival were performed.ResultsOf 1,131 patients with HAP, 283 deceased patients with EOL decisions (105 cases of DNR, 108 cases of withholding of LST, and 70 cases of withdrawal of LST) were analyzed. The median age was 74 (IQR 63–81) years. The prevalence of solid malignant tumors was high (32.4% vs. 46.3% vs. 54.3%, P = 0.011), and the ICU admission rate was lower (42.9% vs. 35.2% vs. 24.3%, P = 0.042) in the withdrawal group. The prevalence of multidrug-resistant pathogens, impaired consciousness, and cough was significantly lower in the withdrawal group. Kaplan–Meier curve analysis revealed that 30-day and 60-day survival rates were higher in the withdrawal group than in the DNR and withholding groups (log-rank P = 0.021 and 0.018). The survival of the withdrawal group was markedly decreased after 40 days; thus, the withdrawal decision was made around this time. Among patients aged below 80 years, the rates of EOL decisions were not different (P = 0.430); however, mong patients aged over 80 years, the rate of withdrawal was significantly lower than that of DNR and withholding (P = 0.001).ConclusionsAfter the LST Decision Act was enforced in Korea, a DNR order was still common in EOL decisions. Baseline characteristics and outcomes were similar between the DNR and withholding groups; however, differences were observed in the withdrawal group. Withdrawal decisions seemed to be made at the late stage of dying. Therefore, advance care planning for patients with HAP is needed. (shrink)

This study assessed the demographic characteristics of Koreans engaged in leisure sports activities during the COVID-19 pandemic and the differences in their preventive health behaviors and constraints on leisure activities. For this study, the demographic characteristics of 544 leisure sport participants, who were recruited on a nationwide basis, were examined through an online survey. Then, comparisons between groups were performed using independent t-tests, one-way analysis of variance, and multivariate analysis of variance. Women who participated in both indoor and outdoor leisure (...) sports showed higher adoption of health prevention behaviors than their male counterparts, and married individuals who participated in indoor leisure sports showed higher adoption of health prevention behaviors than unmarried participants. Moreover, individuals who participated in both indoor and outdoor leisure sports by themselves had many interpersonal constraints overall, and the group of married individuals who participated in indoor leisure sports showed structural constraints. In conclusion, leisure sports participants have adopted many health prevention behaviors during the COVID-19 pandemic, but this had led to some interpersonal constraints. These results indicate that, in the case of future pandemics, personal and institutional efforts will need to be made to promote participation in leisure sports and prevent excessive social isolation. (shrink)

Although any typology of constructivism might be arbitrary, there are, broadly speaking, two distinctive constructivist approaches in security studies as well as International Relations (IR) according to their different meta-theoretical stances: conventional constructivism, on the one hand, and critical constructivism on the other. Indeed, regarding how to understand state identity which is integral to national security, there has meta-theoretically been fierce contention between conventional and critical constructivist security studies. In not ignoring but slightly toning down this contention operating at the (...) abstract level, this article aims to present a pragmatic application of the two different (or conflicting) constructivisms to capturing a more complete picture of state identity formation in substantive empirical research of constructivist security studies. The pragmatic approach is that, without being immersed heavily in the meta-theoretical strife between the two seemingly conflicting constructivist camps, both constructivisms should be treated as different analytical frameworks for examining different (internal and external) faces of state identity formation: the external construction of state identity can be well addressed by conventional constructivism, while the internal one by critical constructivism. In this sense, the relationship between conventional and critical constructivism can be understood as not conflicting but complementary in empirical research, as both constructivisms enrich and deepen our understanding of state identity formation in different ways. (shrink)

우리 사회는 전례 없는 고령화 시대에 접어들었다. 지속적으로 진행되는 노화는 여러 가지 부정적인 감정을 동반한다. 우리가 살아가는 인생의 각 시기는 누구나 자신에게는 처음의 시간이다. 나이가 든다고 저절로 지혜로워지는 것은 아니다. 나이가 들면 우리는 삶의 가장 본질적인 부분을 다루는 철학에 관심을 갖게 마련이다. 반면 우리 사회에서 노년기에 대한 논의는 복지 분야에 집중되어 있기에 보다 풍성한 철학적 담론이 요청된다. 본 논문은 노년이 삶을 예술작품으로 조형함으로써 자존감을 회복하는 길을 모색하고자 한다. 리쾨르에 따르면 자기존중은 곧 자기해석이다. 자존감은 자기가 해석할 수 있는 능력을 가졌으며 선한 (...) 삶을 목표로 심사숙고한 선택을 따를 줄 아는 존재라는 것을 인정할 때 얻어진다. 이는 자신이 선한 삶을 추구하며 살아가는 윤리적 주체임을 증명하는 일이다. 자기존중은 타자를 배려해야 얻을 수 있기에 타자로 말미암아 만들어지는 자기해석이다. 자기해석과 실천이 따를 때 연륜은 성숙과 확장의 능동적인 과정이 되어 예술로서의 삶을 조형하게 될 것이다. 노년은 많은 사회적 관계들보다는 진정성이 있는 소수의 관계에 집중해야 할 때이다. 친애에 대한 해석학적 고찰은 노년담론에서 시사하는 바가 크다. 본고는 리쾨르의 자기성 형성에 있어서 자기존중과 타자배려의 과정에서 드러나는 조화와 새로움의 생성, 신뢰를 지키는 일관성의 맥락이 실존미학으로 귀결될 수 있음을 증명함으로써 노년에게 예술로서의 삶을 제시하고자 한다. (shrink)

For any inquiry into Tasan (茶山)'s philosophy, it is absolutely necessary to investigate its relationship with Neo-Confucianism. Out of the many notions of his philosophy, the Kung-fu theory (工夫論) is considered to be important. Therefore, the comparison between Chu-hui 's (朱熹) system of Neo-Confucianism and Tasan's theory on Kung-fu is expected to offer clues that help us understand Tasan's philosophy. The purpose of this paper is to investigate Tasan’s viewpoints on the notion of ‘having not yet arisen,’ especially in regards (...) to his issues of 'the mind, intelligence, consideration, and discretion (心知思慮),' as presented in his Kung-fu theory. Tasan insists that the statement that "The joy, anger, sorrow, and pleasure have not yet arisen." differs from the statement that "The mind, intelligence, consideration, and discretion (心知思慮) have not yet arisen." In this paper, the author will inquire into Tasan's assertions on the meaning, contents, subject, and significance of ‘the mind, intelligence, consideration, and discretion,’ which he emphasizes. In addition, the author will make clear that the above assertion is related to the following: 1) Tasan’s recognition of Cheon (天), 2) his assertion on the capability of the mind to make decisions by itself (心自主權), and 3) his emphasis on the actualization of morality. (shrink)

Without proper recognition of the dual pandemics of COVID-19 and racism that Asian Americans and other racial minorities in the United States are facing, we cannot successfully address structural b...

Yuga ŭi kiwŏn -- Kongja ŭi ch'ŏninnon -- Kongja ŭi insŏngnon -- Kongja ŭi chŏngch'iron -- Maengja ŭi ch'ŏninnon -- Maengja ŭi insŏngnon -- Maengja ŭi chŏngch'iron -- Sunja ŭi ch'ŏninnon -- Sungja ŭi insŏngnon -- Sunja ŭi chŏngch'iron.