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Early Onset Subsequent Vertebral Compression Fracture after Percutaneous Verteroplasty (경피적 척추 성형술 후 조기에 발생한 새로운 척추 압박골절)

  • Kim, Jong-Kil;Choi, Byeong-Yeol;Park, Young-Chul;Kim, Dong-Hyun
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.1
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    • pp.24-29
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    • 2019
  • Purpose: To evaluate the characteristics and the risk factors of early onset subsequent vertebral compression fractures after percutaneous vertebroplasty. Materials and Methods: A total of 44 patients, who had a new subsequent vertebral fracture after percutaneous vertebroplasty for an osteoporotic vertebral compression fracture between January 2013 and December 2015, were recruited. The patients were divided into two groups according to the onset period of subsequent fracture. The number of patients who had a fracture within 3 months following vertebroplasty were 22 cases (Group A); after 3 months were 22 cases (Group B). Variables, including age, sex, bone mineral density (BMD), body mass index (BMI), preexisting vertebral compression fracture, location of the initial fracture, intradiscal cement leakage, injected cement volume, restoration of vertebral body height, and correction of kyphosis, in the two groups were analyzed and compared retrospectively. Results: The age, sex, BMD, BMI, preexisting vertebral compression fracture, location of the initial fracture, intradiscal cement leakage, and correction of kyphosis were similar in the two groups. Both a greater volume of bone cement injected and a greater degree of vertebral height restoration contributed significantly to the risk of fracture within 3 months. Conclusion: The cement volume and degree of height restoration are risk factors for early onset fracture at the adjacent vertebrae after percutaneous vertebroplasty and close attention is needed during the follow-up period.

Public Exposure to Natural Radiation and the Associated Increased Risk of Lung Cancer in the Betare-Oya Gold Mining Areas, Eastern Cameroon

  • Joseph Emmanuel Ndjana Nkoulou II;Louis Ngoa Engola;Guy Blanchard Dallou;Saidou;Daniel Bongue;Masahiro Hosoda;Moise Godefroy Kwato Njock;Shinji Tokonami
    • Journal of Radiation Protection and Research
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    • v.48 no.2
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    • pp.59-67
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    • 2023
  • Background: This study aims to reevaluate natural radiation exposure, following up on our previous study conducted in 2019, and to assess the associated risk of lung cancer to the public residing in the gold mining areas of Betare-Oya, east Cameroon, and its vicinity. Materials and Methods: Gamma-ray spectra collected using a 7.62 cm×7.62 cm in NaI(Tl) scintillation spectrometer during a car-borne survey, in situ measurements and laboratory measurements performed in previous studies were used to determine the outdoor absorbed dose rate in air to evaluate the annual external dose inhaled by the public. For determining internal exposure, radon gas concentrations were measured and used to estimate the inhalation dose while considering the inhalation of radon and its decay products. Results and Discussion: The mean value of the laboratory-measured outdoor gamma dose rate was 47 nGy/hr, which agrees with our previous results (44 nGy/hr) recorded through direct measurements (in situ and car-borne survey). The resulting annual external dose (0.29±0.09 mSv/yr) obtained is similar to that of the previous study (0.33±0.03 mSv/yr). The total inhalation dose resulting from radon isotopes and their decay products ranged between 1.96 and 9.63 mSv/yr with an arithmetic mean of 3.95±1.65 mSv/yr. The resulting excess lung cancer risk was estimated; it ranged from 62 to 216 excess deaths per million persons per year (MPY), 81 to 243 excess deaths per MPY, or 135 excess deaths per MPY, based on whether risk factors reported by the U.S. Environmental Protection Agency, United Nations Scientific Committee on the effects of Atomic Radiation, or International Commission on Radiological Protection were used, respectively. These values are more than double the world average values reported by the same agencies. Conclusion: There is an elevated level of risk of lung cancer from indoor radon in locations close to the Betare-Oya gold mining region in east Cameroon. Therefore, educating the public on the harmful effects of radon exposure and considering some remedial actions for protection against radon and its progenies is necessary.

Development of the Scale for Healthy aging (건강한 노후 척도 개발에 관한 연구)

  • Ko, Dae Sun
    • 한국노년학
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    • v.29 no.1
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    • pp.117-134
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    • 2009
  • The purpose of this study was designed to develop an questionnaire for healthy aging. The subjects of this study were total 335 people who participated in regular exercise and went to welfare centers in Seoul. The validity and reliability were tested for verifying the developed questionnaire for healthy aging. The data were collected between June 12, 2006 and October 27, 2006. The mean, standard deviation, kurtosis, skewness, reliability, exploratory factor analysis and confirmatory factor were analyzed for statistical purpose using by SPSS-Win 12.0 program. The results were as follows; First, to obtain content validity, the results of previous research and the value system responses were submitted to a judgement group. Second, the results of the factor analysis of the 20 items making up the questionnaire were classified into the following 3 factors; physiological health(6 items), cognitive-mental health(6 items), social-support health(8 items). Third, the reliability of the questionnaire for healthy aging was 0.891(Cronbach's alpha). In the factor analysis Cronbach's alpha correlations for the 4 factors ranged from 0.642 to 0.885. Fourth, the results of confirmatory factor analysis, all the index values(NFI, RFI, CFI, Delta 2 IFI) were close to 1. Thus, this questionnaire demonstrated good reliability and validity and therefore it was an appropriate measurement of healthy aging.

Russia-Central Asia relations -Focusing on the period after the establishment of the EAEU in 2015- (러시아·중앙아시아 관계 -2015년 EAEU 창설 이후를 중심으로-)

  • Sang Nam Park
    • Analyses & Alternatives
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    • v.7 no.3
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    • pp.85-114
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    • 2023
  • The purpose of this study is to analyze Russia-Central Asia relations since the launch of the EAEU in 2015 and forecast the future from a structural realism perspective. Bilateral relations have both elements of close cooperation and elements of conflict. Russia and Central Asia, which have the characteristics of an authoritarian alliance, also have a symbiotic relationship in which they have no choice but to cooperate with each other to maintain the regime. Based on this, Russia has made various efforts to reunify Central Asia. Central Asia also has no choice but to cooperate with Russia for its survival, but at the same time, it has expanded its scope of cooperation in the international community to avoid being subjugated to Russia again. However, as China's power expands, Russia's relative weakness, and wariness toward Russia increases after the Ukraine War, the gap in bilateral relations is widening. In particular, as China's influence grows, Russia's nervousness also increases. This is why Putin visits Central Asia and holds active summit talks even during the war in Ukraine. If competition between Russia and China surfaces, there is a high possibility that the international order in Central Asia will become unstable. However, it is still unlikely that the power of Russia and China will reverse in Central Asia. Above all, the security, historical, and cultural connections between Russia and Central Asia are areas that are difficult for China to catch up with. Therefore, a weakening of Russia's influence compared to the past is inevitable, but its superiority is expected to continue. If Russia breaks away from belligerence and transforms into an attractive cooperative partner, there is a possibility that bilateral relations will take an upward turn again. However, it seems unlikely that such changes and innovations will occur under the Putin regime. Therefore, the biggest obstacle to realizing Putin's goal of reunifying Central Asia is Putin himself.

Stem Rot of Pearl Millet Prevalence, Symptomatology, Disease Cycle, Disease Rating Scale and Pathogen Characterization in Pearl Millet-Klebsiella Pathosystem

  • Vinod Kumar Malik;Pooja Sangwan;Manjeet Singh;Pavitra Kumari;Niharika Shoeran;Navjeet Ahalawat;Mukesh Kumar;Harsh Deep;Kamla Malik;Preety Verma;Pankaj Yadav;Sheetal Kumari;Aakash;Sambandh Dhal
    • The Plant Pathology Journal
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    • v.40 no.1
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    • pp.48-58
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    • 2024
  • The oldest and most extensively cultivated form of millet, known as pearl millet (Pennisetum glaucum (L.) R. Br. Syn. Pennisetum americanum (L.) Leeke), is raised over 312.00 lakh hectares in Asian and African countries. India is regarded as the significant hotspot for pearl millet diversity. In the Indian state of Haryana, where pearl millet is grown, a new and catastrophic bacterial disease known as stem rot of pearl millet spurred by the bacterium Klebsiella aerogenes (formerly Enterobacter) was first observed during fall 2018. The disease appears in form of small to long streaks on leaves, lesions on stem, and slimy rot appearance of stem. The associated bacterium showed close resemblance to Klebsiella aerogenes that was confirmed by a molecular evaluation based on 16S rDNA and gyrA gene nucleotide sequences. The isolates were also identified to be Klebsiella aerogenes based on biochemical assays, where Klebsiella isolates differed in D-trehalose and succinate alkalisation tests. During fall 2021-2023, the disease has spread all the pearl millet-growing districts of the state, extending up to 70% disease incidence in the affected fields. The disease is causing considering grain as well as fodder losses. The proposed scale, consisting of six levels (0-5), is developed where scores 0, 1, 2, 3, 4, and 5 have been categorized as highly resistant, resistant, moderately resistant, moderately susceptible, susceptible, and highly susceptible disease reaction, respectively. The disease cycle, survival of pathogen, and possible losses have also been studied to understand other features of the disease.

Bilateral Triple Negative Invasive Ductal Breast Carcinoma in a BRCA1 Mutation Carrier with Discrepant Pathologic Response to Neoadjuvant Chemotherapy (BRCA 유전자 변형 환자의 양측 삼중음성 유방암의 선행화학요법에 대한 상이한 반응)

  • Gi Won Shin;Young Mi Park;Tae Hyun Kim;Anbok Lee;Ha Young Park;Hye Kyoung Yoon;Young Jin Heo;Jin Wook Baek;Yoo Jin Lee
    • Journal of the Korean Society of Radiology
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    • v.81 no.2
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    • pp.428-435
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    • 2020
  • Herein, we report a case of synchronous bilateral triple negative invasive ductal breast carcinoma in a patient with discrepant pathologic response to neoadjuvant chemotherapy. Right and left breast cancer stages at the initial diagnosis were T1cN0M0 and T4dN3aM0, respectively. The patient was identified as a BRCA1 mutation carrier and treated with four cycles of adriamycin and cyclophosphamide, followed by four cycles of docetaxel. Bilateral breast cancer stages decreased with the first regimen. However, the bilateral breast cancers showed discrepant responses to chemotherapy with docetaxel. The right breast cancer showed a continuous tumor volume reduction while the left breast cancer showed marked progression. Finally, the tumor size was 0.3 cm and 12 cm in the right and left mastectomy specimens, respectively. As bilateral breast cancers of the same subtype may show discrepant responses to neoadjuvant chemotherapy, close monitoring and follow-up imaging are required to avoid delayed surgery.

A Case Study on Nongak and Dangsanje as Regional Sources of Influence on the Formation of Jeungsan Thought: Focused on Jeongeup City, Jeonbuk-do Province (증산사상(甑山思想) 형성에 미친 지역적 영향원(影響源)으로서의 농악·당산제에 관한 사례적 고찰 -정읍지역을 중심으로-)

  • Heo Jeong-joo
    • Journal of the Daesoon Academy of Sciences
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    • v.49
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    • pp.127-156
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    • 2024
  • The purpose of this study is to examine the influence of the village gut (shamanic ritual) Dangsanje and Nong-ak (agricultural musical ritual) in the Jeong-eup Province on the formation of the ideology of the Jeungsan (甑山), Kang Il-sun (姜一淳 1871~1909), a thinker from Jeong-eup. As a result, this article has reached the following conclusions: first, the ideas of a certain thinker are influenced by the local culture in which they were born and raised. Second, the central area where Kang Jeungsan was born, grew up, and later developed his system of philosophical thought was the Jeong-eup Province. Third, in Jeong-eup, Nong-ak is traditionally accompanied as a necessary requirement. Fourth, the Nong-ak that Kang Jeungsan witnessed in his hometown during his lifetime had those qualities. Fifth, Kang Jeungsan empirically identified the close interrelationship between Village Gut Dangsanje, Nong-ak, and Mudanggut from an early age. Sixth, this aspect of influence is tangibly reflected in the words and actions he left behind. Seventh, Kang Jeungsan's experience of Jeong-eup Nong-ak was recreated in the religious music of Bocheonism, where his ideas were formulated into an organized religion for the first time. Eighth, this process of religionizing Nong-ak in Bocheonism greatly influenced later Jeong-eup Nong-ak and also Honam Nong-ak more generally.

한국 청소년의 약물남용과 비행행위

  • 김성이
    • Korea journal of population studies
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    • v.11 no.2
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    • pp.54-66
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    • 1988
  • I. Introduction Since the 1970's drug abuse among young people has increasingly become a social problem in Korea. In the 1980's, drug abuse, especially glue sniffing, has become the cause of many unfortunated incidents resulting in harm to others as well as the abusers themselves. Taking into consideration of the seriousness of this problem, the Republic of Korea National Red Cross initiated a nation-wide research programme, to understand the present situation and to raise the level of public awareness. The goal of this research was to begin a nation - wide campaign against drug abuse. The research team was composed of the Advisary Committee members and the staff of the Youth Department of the Republic of Korea National Red Cross. The data were collected in February 1988 with the collaboration of the staff and volunteers in the local Chapters. The respondents were allocated nation-wide by the quota sampling method. The questionnaires were distributed to the respondents in three groups :2, 700 to junior and senior high school students, 605 to working youths, and 916 to delinquent youths. A total of 4, 221 questionnaires were collected. II. Characteristics of the Respondents The respondents in each group were selected evenly from rural and urban areas. The general characteristics of the respondents can be described as follow: in case of students, the proportions between male and female respondents, and between senior high school and junior high school students were almost evenly distributed. In case of working youths, the proportion of females (80.5%) was higher than those of the students and the delinquents groups. Delinquent youths were defined as those currently being under custody of the centers for juvenile delinquents. Of this number, 38.8% and 68.2% were junior and senior high school drop-outs respectively. The majority of them (92.6%) were male. As for the family background of the respondents, the proportion of those residing in poverty - stricken areas, and the proportion of those from broken families were higher in case of working youths and delinquent youths than those in case of students. III. Present Patterns of Drug Abuse The following summarizes the presents of drug abuse, as tabulated from the results of the survey. 1. Smoking The percentage of youths who smoke was 36% in the student group, 32% m the working youths group, and 94.4% in the delinquent youths group. 2. Alcohol 50.3% of students, 71.6% of working youths, and 93.3% of delinquent youths has experienced drinking alcohol beverages. 3. Tonic: non - alcoholic, caffeinated beverages popular in Korea and Japan The percentage of those who have used tonic at least once was over 90% in all of the three groups. 4. Sedative About 70% of each group has used sedative with the proportion of working youths use higher than those in other groups. 5. Stimulants Those who have used stimulants comprised around 15% in each group. 6. Tranquilizers Somewhat less than 5% of students and working youths, and 28% of delinquent youths, have used tranquilizers. 7. Hypnotics The users of hypnotics amounted to 0.4% of students, 2.6% of working youths and 7.1% of delinquent youths. 8. Marihuana Those who have used marihuana indicated 0.7% of students, 0.8% of working youths, and 13% of delinquent youths. 9. Glue-sniffing The percentage of glue-sniffing was 3.7%, 5% in the students group and in the youths group respectively, but the proportion was unusually high, at 40.7% in the delinquent youths group. From the results of the survey the present situation of drug abuse in Korea can be summarized as follows: 1. A high percentage of Korean youths have experienced smoking cigarettes and drinking alcoholic beverages. 2. Tonics (non - alcoholic, caffeinated beverages), antipyretic analgesics and stimulants quite regularly used. 3. Tranquilizers, hypnotics, marihuana and glue-sniffing are more widely used among delinquent youths than the other youths. From this fact, there exists a correlation between drug abuse and juvenile delinquency. IV. Time-series Analysis of the First Experience of Drug Abuse and Deviant Behaviour The respoundents were asked when they were first exposed to drugs and when they committed deviant acts. By calculating the average age of each experience, the following pattern was found (See Figure 1). Youths are first exposed to drugs by abuse of tonic(non - alcoholic, caffeinated beverages). At the age of 13, they amoke cigarettes, the use of antipyretic analgesics begins at 14 year old, while at the age of 15, they use tranquilizers, and at 16 hynotics. The period of drug abuse which starts from drinking caffeinated beverages and smoking cigarettes and ends in the use of hypnotics takes about three years. During this period, other delinquent behaviours begin to surface, that is, at the age of 13 when smoking cigarettes begins, the delinquent behaviour pattern starts with truancy. Next, they start taking money from others by using physical force. Prior to the age of 15, they are suspended from school, become hostile to adults, begin running away from home, and start using stimulants and alcohol. Soon they become involved even in glue-sniffing and in the use of marihuana. At the age of 15, they begin to see adult videos and carry weapons. Sexual promiscuity and usage of tranquilizers follows the viewing of adult videos. Consequently, by the time they reach the age of 16, they visit drinking establishments, and are picked up by police for committing delinquent acts. And finally, they come to use hypnotic - type drugs. From the above descriptions, drug abuse can be assumed to have a close correlation with delinquent behaviour. V. Social Factors Related to Drug Abuse As for the Korean youths, glue-sniffing is found to he related to aggressive delinquency, in such cases as run - aways, being picked up by the police, and taking money by force. Smoking cigarettes and drinking alcohol is found to be related to seeing adult videos and visiting drinking establishments. Hypnotics and marihuana were found to be representive of drugs which are related to degenerational delinquency, irrespective of social delinquency. The social factors connected with these drug abuse are as follows: 1. Individual factors Male students were more heavily involved in the usage of drug than females. Youths who do not attend church were more likely to be involved in drugs than those who attend. 2. Family factors The youths who were displeased with their mothers smoking and those who thought their parents did not love each other, or those whose parents had used drugs without prescription, were more likely to he drug users. 3. School factors Those youths who found school life boring, were unsuccessful in their studies, spend most of their time with friends, feel their teachers smoke too much, those who had a positive perception of their teachers smoking were likely to he drug users. To sum up, drug abusers depend on the influence of their parents, teachers and peers. IV. Reasons for Drug Abuse Korean students have mainly used drugs to release stress (42.8%), to stay awake (19.7%), and because of the easy accessibility of drugs( 16.6%). Other reasons are due to their ignorance of the side effects of the drugs (3.6%), natural curiosity (4.2%), and to increase strength(3.O%). From the above facts, the major reasons for drug abuse among Korean youths are to release stress and to stay awake in order to prepare exams. Furthermore, since drugs are readily available, we can conclude that drug abuse is caused by the school system(such as entrance exams) in Korea. VII. Conclusion Drug usage among Korean youths are relatively less common than those of western youths. In some cases, such as, glue-sniffing and use of stimulants, the pattern of drug abuse is found. Moreover, early drug abuse is evident, and it has a close connection with deviant behaviour, resulting in juvenile delinquency. Drug abuse cannot be attributed to any one social factor. Specifically, drug abuse depends on parents, peers, teachers and other members of the community, and also is influenced by social institutions such as the entrance exam system. Every person and organization concerned with youth must participate collectively in restraining drug abuse. Finally, it is suggested that social agencial working for youth welfare should make every effort to tackle this serious problem confronted by the Korean youths today.

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The Waveform and Spectrum analysis of Tursiops truncatus (Bottlenose Dolphin) Sonar Signals on the Show at the Aquarium (쇼 학습시 병코돌고래 명음의 주파수 스펙트럼 분석)

  • 윤분도;신형일;이장욱;황두진;박태건
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.36 no.2
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    • pp.117-125
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    • 2000
  • The waveform and spectrum analysis of Tursiops truncatus(bottlenose dolphin) sonar signals were carried out on the basis of data collected during the dolphin show at the aquarium of Cheju Pacificland from October 1998 to February 1999. When greeting to audience, the pulse width, peak frequency and spectrum level from the five dolphins'sonar signals were 3.0ms, 4.54kHz and 125.6dB, respectively. At the time of warm-up just before the show, their figures were 5.0㎳, 5.24kHz and 127.0dB, respectively. During the performance of dolphins, with singing, peak frequency ranged 3.28∼5.78kHz and spectrum level ranged 137.0∼142.0dB. With playing ring, pulse width, peak frequency and spectrum level were 7.0㎳, 2.54kHz and 135.9dB, and when playing the ball, the values were 9.0㎳, 2.78kHz and 135.2dB, respectively. The values determined from the five dolphins during jump-up out of water were : pulse width 2.0㎳, peak frequency 4.50kHz and spectrum level 126.8dB. When they responded to trainer's instructions, the values were 2.25㎳, 248kHz and 148.7dB, respectively, and greeting to audience, the peak frequency and spectrum level were 5.84kHz and 122.5dB. During swimming under water, peak frequency and spectrum level were determined to be 10.10kHz and 126.8dB. It was found that there exited close consistencies in pulse width, frequency distribution and spectrum level between whistle sounds and dolphin's sonar signals. Accordingly, the dolphins can be easily trained by using whistle sound based on the results obtained from the waveform and spectrum of the dolphin's sonar signals.

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An Empirical Study on the Determinants of Re-startup Firm's Performance by the Condition of Credit Problems (신용문제에 따른 재창업기업 성과 결정 요인에 대한 실증연구)

  • Kim, In Sue;Lee, Taek Ku
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.13 no.2
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    • pp.15-26
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    • 2018
  • This study examines the effects of failure experience, re-startup's motivation, government support business and education for re-startup on the performance of re-startup firms after failure. In addition, we analyzed how the above factors affect the performance of re-startup firms by the condition of debt and credit problems. As a result of the analysis, the failure experience had no significant effect on the re-startup performance regardless of the credit problem, while re-startup's motivation, government support business and education for re-startup had a significant effect on re-startup firms' performance. In the re-startup group with the credit problem, the re-startup's motivation and the failure experience had a significant influence on the re-startup firms' performance. On the other hand, in the group that did not solve the credit problem, the re-startup's motivation and the failure experience had no significant effect on the re-startup performance, but the government support business and education for re-startup had a significant effect on re-startup performance. The results of this study are as follows: First, it shows that the characteristics of re-startups and the determinants of re-startups are different according to credit problems. Second, this study shows that it takes 56 months on average from the close of business to the re-start, and it may take more than 7 years due to the credit problems and bankruptcy. This suggests the necessity to consider re-startup in the concept of obsolete in consideration of time, when studying the direct/indirect influence of failure experience and re-startup, and establishing policy.