• 제목/요약/키워드: Effect Analysis of Risk Factors

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노인의 사회자본과 건강위해 행위 및 건강수준이 의료서비스 이용에 미치는 영향 (The effect of social capital, health risk behavior and health status on medical care utilization by the elderly)

  • 우경숙;서제희;김계수;신영전
    • 보건행정학회지
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    • 제22권4호
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    • pp.497-521
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    • 2012
  • Objectives This study aimed to investigate the effect of social capital, health risk behavior and health status on medical care utilization by the elderly. The data and Research method Data were obtained from the 4th wave survey of the Korea Welfare Panel Study. 4,087 household members aged 65 years and over were subject to analysis. Descriptive statistics are used to describe the basic features of the data in a study. we performed a structural equation modeling(SEM) analysis to evaluate the effect of social capital and mediating effect of health risk behavior and health status. Results Results showed that factors related to medical care utilization of the elderly were different depending on types of service (inpatient and outpatient service) except health status. Age, higher social capital, more health-risk behavior and poorer health status were associated with increased use of inpatient service. Social capital was found to have a positive direct effect on it. Also, social capital had an indirect effect on reducing use of inpatient services by improving health status. On the other hand, lower age and higher household income tended to increase use of outpatient service, while higher social capital and higher health status were inversely related. Social capital had a direct effect and an indirect effect on reducing use of outpatient service and, at that time, health status played a mediating role. Conclusions Social capital may contribute to improve health status and indirectly reduce medical care utilization of the elderly by enhancing their health status. These results provide evidence that more policy and strategy considerations should be needed for the elderly to strengthen their social capital in order to enhance their levels of health and more efficient utilization of medical care.

설문조사에 의한 근로자 중심의 안전분임토의를 통한 건설업 위험성 평가 개선방안 사례연구 (A Case Study on the Improvement of Risk Assessment by Worker-Oriented Safety Circle Discussion in Construction Industry by the Survey)

  • 김정훈;오태근
    • 한국안전학회지
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    • 제31권5호
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    • pp.82-88
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    • 2016
  • The current risk assessment system do not reflect workers' various opinion. However, the worker actually are in the center of work field and are exposed to accidents. In this regard, this study suggests enhanced risk assessment by 'safety circle discussion' on workers' hand. The self-administered surveys on supervisors and workers were done for the effect analysis of the safety circle discussion. According to the question investigation, even though the current risk assessment causes difficulties in preventing accidents by unsafe behaviors, the worker-oriented safety circle discussion establishing measures for risk factors of each work type will be able to prevent accidents more effectively. Also, it can positively contribute to safety health awareness, industrial accident prevention, accurate recognition on risk factors, improving safety facilities/work conditions, workers' compliance to safety health rules. Lastly, most respondents agreed that it is necessary to form organic relationship through circle discussion and deriving safety inspections that workers participate.

수질 및 토양오염 모니터링 결과를 이용한 카드뮴의 환경위해성평가 (Environmental Risk Assessment of Cadmium using National Monitoring Data)

  • 박광식;신동천
    • Environmental Analysis Health and Toxicology
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    • 제19권1호
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    • pp.65-72
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    • 2004
  • Environmental risk assessment of cadmium compounds was conducted using national monitoring data of aquatic and terrestrial compartments of local area. Aquatic and terrestrial toxicities of cadmium compounds on algae, daphnid, fish, earthworm, springtails and other species were evaluated. The toxicity data evaluated in this study were mainly from ECOTOX database provided by US EPA. Assessment factors were determined according to the EU technical guidance document and/or OECD proposal. Predicted no effect concentration (PNEC) values of aquatic and terrestrial toxicity were 25$\mu\textrm{g}$/L and 0.2 mg/kg, respectively and they were compared with cadmium exposure data of several local areas, which were used as Predicted exposure concentration(PEC) values. Most of the local area were found to be not risky. However, the risk values (PEC/NEC) of some metropolitan areas were greater than 1 when the most conservative PNEC value was applied.

Analysis of Key Factors in Corporate Adoption of Generative Artificial Intelligence Based on the UTAUT2 Model

  • Yongfeng Hu;Haojie Jiang;Chi Gong
    • 한국컴퓨터정보학회논문지
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    • 제29권7호
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    • pp.53-71
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    • 2024
  • 생성형 인공지능은 그 광범위한 응용 범위와 깊은 영향력으로 인해 사회의 주목을 받고 있습니다. 본 논문은 통합 기술 수용 및 사용 이론 2(UTAUT2)를 기반으로 개인의 혁신성과 인지된 위험 등의 변수를 결합하여, 기업이 생성형 인공지능을 채택하는 데 영향을 미치는 주요 요인을 연구하기 위해 종합적인 이론 모델을 구축하였습니다. 우리는 가설 경로를 검증하기 위해 구조 방정식 모델(SEM)을 사용하였고, 부트스트래핑 방법을 통해 수용 의향의 매개 효과를 검증하였으며, 계층적 회귀 분석을 통해 인지된 위험의 조절 효과를 탐구하였습니다. 연구 결과, 성과 기대, 노력 기대, 사회적 영향, 가치 평가 및 개인 혁신성이 수용 의향에 긍정적인 영향을 미치며, 수용 의향은 이러한 요인들과 사용 행동 사이에서 중요한 매개 역할을 한다는 것이 밝혀졌습니다. 반면, 인지된 위험은 수용 의향과 사용 행동 사이에서 부정적인 조절 효과를 가지는 것으로 나타났습니다. 본 연구는 기업이 생성형 인공지능을 효과적으로 채택하는 방법에 대해 이론적 근거와 실증적 지원을 제공하며, 중요한 실무적 의의를 가집니다.

로지스틱 회귀분석을 이용한 핀테크 결제 서비스 수용 요인 분석 (An Analysis of Factors Affecting Fintech Payment Service Acceptance Using Logistic Regression)

  • 황신해;김정군
    • 한국시뮬레이션학회논문지
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    • 제27권1호
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    • pp.51-60
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    • 2018
  • 본 연구는 혁신확산이론과 관련 선행연구를 기반으로 사용자의 핀테크 결제 서비스 사용 영향요인을 서비스와 사용자 측면으로 분류하여 파악하고 인과관계를 실증 검증하였다. 사용자 수용에 영향을 미치는 서비스 특성으로 복잡성, 혜택, 서비스 제공자 신뢰와 인지된 위험을 서비스 특성으로, 개인 혁신성과 보안사고 경험을 사용자 특성으로 분류하여 연구모형을 구성하였다. 이항 로지스틱 회귀분석 결과 인지된 위험과 사용의 복잡성, 보안사고 경험은 사용자의 핀테크 수용에 부정적인 영향을 미치며 개인혁신성은 긍정적인 영향을 미치는 것으로 나타났다. 추가로 인지된 위험이 핀테크 서비스 수용에 미치는 부정적인 영향을 강화하는 보안사고 경험의 조절효과 역시 유의미하게 나타났다.

Phytoestrogen Intake and Risk of Ovarian Cancer: a Meta-Analysis of 10 Observational Studies

  • Qu, Xin-Lan;Fang, Yuan;Zhang, Ming;Zhang, Yuan-Zhen
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권21호
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    • pp.9085-9091
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    • 2014
  • Background: Epidemiology studies have shown an inconclusive relationship between phytoestrogen intake and ovarian cancer risk and there have been no relevant meta-analyses directly regarding this topic. The purpose of the present meta-analysis was therefore to investigate any association between phytoestrogen intake and ovarian cancer in detail. Materials and Methods: We conducted a search of PubMed, EMBASE, EBSCO, the Cochrane Library, CNKI and Chinese Biomedical Database (up to April 2014) using common keywords for studies that focused on phytoestrogen and ovarian cancer risk. Study-specific risk estimates (RRs) were pooled using fixed effect or random-effect models. Results: Ten epidemiologic studies were finally included in the meta-analysis. The total results indicated higher phytoestrogen intake was associated with a reduced ovarian cancer risk (RR, 0.70; 95%CI: 0.56-0.87). The association was similar in sensitivity analysis. Meta regression analysis demonstrated sources and possibly types and regions as heterogeneous factors. Subgroup analysis of types, sources and regions showed that isoflavones (RR: 0.63; 95%CI: 0.46, 0.86), soy foods (RR: 0.51; 95%CI: 0.39, 0.68) and an Asian diet (RR: 0.48; 95%CI: 0.37, 0.63) intake could reduce the incidence of ovarian cancer. Conclusions: Our findings show possible protection by phytoestrogens against ovarian cancer. We emphasize specific phytoestrogens from soy foods, but not all could reduce the risk. The habit of plentiful phytoestrogen intake by Asians is worthy to recommendation. However, we still need additional larger well designed observational studies to fully characterize underlying associations.

관상동맥질환 위험정도와 혈관탄성의 관계에서 치료지시이행의 매개효과: 경피적 관상동맥 중재술 환자 대상 (Comparison of Vessel Elasticity according to Risk Factors for Coronary Artery Disease, and the Mediating Effects of Treatment Compliance among Patients with Percutaneous Coronary Intervention)

  • 여가람;성경미
    • 동서간호학연구지
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    • 제22권1호
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    • pp.32-40
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    • 2016
  • Purpose: This study aimed to provide basic data for vascular health of patient who underwent percutaneous coronary intervention (PCI) by verifying the mediating effect of compliance in the relationship between risk level of coronary artery disease (CAD) and blood vessel elasticity. Methods: This is a descriptive study with 115 patients, who underwent the PCI a year ago and visited in the cardiology department from January to March, 2015. The risk level of CAD, blood vessel elasticity and the compliance were measured. For data analysis, SPSS/WIN 21.0 and AMOS (IBM) 21.0 were used. Results: There were a positive correlation with blood vessel elasticity score (i.e. inelasticity of the blood vessel wall) (r=.189) and a negative correlation with compliance (r=-.658) in mediating effect of risk level of CAD. There was a negative correlation between compliance and blood vessel elasticity (r=-.482). The direct effect (${\beta}=-.226$), indirect effect (${\beta}=.415$) and total effect (${\beta}=.186$) of mediating effect of risk level of CAD on blood vessel elasticity were significant. Compliance had a partial mediating effect of risk level of CAD on blood vessel elasticity. Conclusion: The results of this study suggest that managing and preventing moderating effect of risk level of CAD on compliance is helpful in restoring blood vessel elasticity.

생활한복의 구매의사에 대한 영향요인 연구 - 생활한복 이미지, 추구혜택, 위험지각을 중심으로 - (A Study of the Effective Factors on the Purchase Intention of Saenghwal-Hanbok - Focused on the Clothing Image, Benefit Sought and Perceived Risk -)

  • 임영자;류은정
    • 대한가정학회지
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    • 제39권6호
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    • pp.123-133
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    • 2001
  • The purose of this study was to investigate the effect of clothing image, benefit sought, perceived risk, demographic and consumer's characteristics on the Purchase Intention of Saenghwal-Hanbok. The questionnaire was administered to 227 women in Seoul Data were analysed by factor analysis, correlation and multipleregression. The resets of this study were as follows: 1. The clothing images of Saenghwal-Hanbok were composed of dignified, comfortable, conservative and innovative dimensions. The benefits sought of Saenghwal-Hanbok were identified to traditional aethetics, contemporary aethetics, comfortability The perceived risk of Saenghwal-Hanbok was the only risk on the negative viewpoint of others. 2. The images of Saenghwal-Hanbok with the exception of innovative image have influenced on the benefit sought and the perceived risk of Saenghwal-Hanbok. 3. The positive effects of benefits sought iud negative effect of perceived risk ell the purchase intention of Saenghwal-Hanbok were found. There were also the significant effects of demographic and consumer's characteristics on the clothing image, benefit sought, perceived risk.

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Risk Factors for Delirium after Spine Surgery in Elderly Patients

  • Seo, Jin Suk;Park, Seung Won;Lee, Young Seok;Chung, Chan;Kim, Young Baeg
    • Journal of Korean Neurosurgical Society
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    • 제56권1호
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    • pp.28-33
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    • 2014
  • Objective : Postoperative delirium is a common complication in the elderly after surgery but few papers have reported after spinal surgery. We analyzed various risk factors for postoperative delirium after spine surgery. Methods : Between May 2012 and September 2013, 70 patients over 60 years of age were examined. The patients were divided into two groups : Group A with delirium and Group B without delirium. Cognitive function was examined with the Mini-Mental State Examination-Korea (MMSE-K), Clinical Dementia Rating (CDR) and Global Deterioration Scale (GDS). Information was also obtained on the patients' education level, underlying diseases, duration of hospital stay and laboratory findings. Intraoperative assessment included Bispectral index (BIS), type of surgery or anesthesia, blood pressure, fluid balance, estimated blood loss and duration of surgery. Results : Postoperative delirium developed in 17 patients. The preoperative scores for the MMSE, CDR, and GDS in Group A were $19.1{\pm}5.4$, $0.9{\pm}0.6$, and $3.3{\pm}1.1$. These were significantly lower than those of Group B ($25.6{\pm}3.4$, $0.5{\pm}0.2$, and $2.1{\pm}0.7$) (p<0.05). BIS was lower in Group A ($30.2{\pm}6.8$ compared to $35.4{\pm}5.6$ in group B) (p<0.05). The number of BIS <40 were $5.1{\pm}3.1$ times in Group A, $2.5{\pm}2.2$ times in Group B (p<0.01). In addition, longer operation time and longer hospital stay were risk factors. Conclusion : Precise analysis of risk factors for postoperative delirium seems to be more important in spinal surgery because the surgery is not usually expected to have an effect on brain function. Although no risk factors specific to spinal surgery were identified, the BIS may represent a valuable new intraoperative predictor of the risk of delirium.

Socio Demographic and Reproductive Risk Factors for Cervical Cancer - a Large Prospective Cohort Study from Rural India

  • Thulaseedharan, Jissa V.;Malila, Nea;Hakama, Matti;Esmy, Pulikottil O.;Cheriyan, Mary;Swaminathan, Rajaraman;Muwonge, Richard;Sankaranarayanan, Rengaswami
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권6호
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    • pp.2991-2995
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    • 2012
  • Background: India shows some of the highest rates of cervical cancer worldwide, and more than 70% of the population is living in rural villages. Prospective cohort studies to determine the risk factors for cervical cancer are very rare from low and medium resource countries. The aim of this study was to quantify the effect of risk factors related to cervical cancer in a rural setting in South India. Material and methods: Sociodemographic and reproductive potential risk factors for cervical cancer were studied using the data from a cohort of 30,958 women who constituted the unscreened control group in a randomised screening trial in Dindigul district, Tamilnadu, India. The analysis was accomplished with the Cox proportional hazard regression model. Results: Women of increasing age (HR=2.4; 95% CI: 1.6, 3.8 in 50-59 vs 30-39), having many pregnancies (HR=7.1; 1.0, 52 in 4+ vs 0) and no education (HR=0.6; 0.2, 0.7 in high vs none) were found to be at significantly increased risk of cervical cancer. Conclusion: This cohort study gives very strong evidence to say that education is the fundamental factor among the sociodemographic and reproductive determinants of cervical cancer in low resource settings. Public awareness through education and improvements in living standards can play an important role in reducing the high incidence of cervical cancer in India. These findings further stress the importance of formulating public health policies aimed at increasing awareness and implementation of cervical cancer screening programmes.