• 대한간호학회지
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• 제49권6호
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• pp.724-735
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• 2019

Purpose: This study was conducted to investigate relationship between delirium, risk factors on delirium, and patient prognosis based on Donabedian's structure-process-outcome model. Methods: This study utilized a path analysis design. We extracted data from the electronic medical records containing delirium screening data. Each five hundred data in a delirium and a non-delirium group were randomly selected from electronic medical records of medical and surgical intensive care patients. Data were analyzed using SPSS 20 and AMOS 24. Results: In the final model, admission via emergency department (Β=.06, p=.019), age over 65 years (Β=.11, p=.001), unconsciousness (Β=.18, p=.001), dependent activities (Β=.12, p=.001), abnormal vital signs (Β=.12, p=.001), pressure ulcer risk (Β=.12, p=.001), enteral nutrition (Β=.12, p=.001), and use of restraint (Β=.30, p=.001) directly affecting delirium accounted for 56.0% of delirium cases. Delirium had a direct effect on hospital mortality (Β=.06, p=.038), hospital length of stay (Β=5.06, p=.010), and discharge to another facility (not home) (Β=.12, p=.001), also risk factors on delirium indirectly affected patient prognosis through delirium. Conclusion: The use of interventions to reduce delirium may improve patient prognosis. To improve the dependency activities and risk of pressure ulcers that directly affect delirium, early ambulation is encouraged, and treatment and nursing interventions to remove the ventilator and drainage tube quickly must be provided to minimize the application of restraint. Further, delirium can be prevented and patient prognosis improved through continuous intervention to stimulate cognitive awareness and monitoring of the onset of delirium. This study also discussed the effects of delirium intervention on the prognosis of patients with delirium and future research in this area.

• 대한지역사회영양학회지
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• 제2권5호
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• pp.721-727
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• 1997

This study investigated whether dietary factors are more influential factor than other health behavior such as drinking, smoking and exercise on abnormal serum cholesterol level inspite of Korean dietary pattern differences compared to Europeans and Americans. A double case control study model has been used for the study design. One model consisted of high blood cholesterol cases and control. the other model consisted of low blood cholesterol cased and controls. 5.398 sedentary male workers who had taken medical examinations at a university hospital were used as the study subjects. Out of the study subjects, 36individuals with high blood cholesterol cases and 30 individuals with low blood cholesterol cases were selected. For the 66 individual control selection, the individual control selection, the individuals matching method was adopted. The food frequency method was used to collect the data for assessment of the dietary factors. A standardized questionnaire was used to investigate other health behavior. logistic regression analysis was employed to measure the relative importance between the factors considered. There were no statistically significant differences observed in nutrients consumption or other health behavior among the low, normal and high blood cholesterol groups, An overmatching effect had been suspected as the cause of those findings. However, the results of logistic regression analysis to identify the factors influencing high serum cholesterol showed that odd ratios of dietary factors such as tocopherol(3.0) and saturated fatty acid(1.6) were higher than I. I of smoking and 1.2 of drinking. Similar results were also observed incases of low serum cholesterol. The above findings imply that although the dietary pattern is quite different from that of Europeans and America, the dietary factor is still a significant factor for abnormal blood cholesterol in Koreans. Therefore, the dietary risk factor identified in high fat consumption populations are still relevant for the relatively healthy Korean as guideline for preventive health practices. (Korean J Community Nutrition 2(5) : 721∼727, 1997)

• 복식문화연구
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• 제26권6호
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• pp.899-918
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• 2018

Upcycling is the process of repurposing abandoned resources or useless products into products of better quality or higher environmental value. Upcycling products are evaluated to be sustainable because they demonstrate environmental values. However, domestic upcycling companies are operating on a small scale with a slow growth rate. This study aims to examine the value and risk factors of upcycling products from previous literature and clarify the effect of these ambivalent characteristics on purchase intention. This provides direction regarding factors upcycling companies should focus on. The data were collected via an online experiment with women in their 20s and 30s residing in South Korea, nationwide. The data were statistically analyzed using SPSS 21.0 and AMOS 18.0. Analysis of this data suggests that environmental, design, and self-expression value positively affect purchase intention. This extends previous upcycling literature by identifying design and self-expression value as important antecedents of purchase intention. However, in contrast to previous literature, no significant effect of performance or diversity risk was found. These results indicate that ethical attitude has a moderating effect on the relationship between environmental value and purchase intention. This study confirms that consumers intend to purchase upcycling products when they possess not only environmental value but also design and self-expression value.

• Environmental Analysis Health and Toxicology
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• 제25권3호
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• pp.207-214
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• 2010

Toxicity identification and quantification are important factors to evaluate the effect of industrial effluent on the aquatic environment. In order to measure the potential and real toxicity of mixed chemicals in the effluents, the biological method (i.e., WET test) should be used as well as chemical analysis method. In this study, we conducted WET test for various kinds of industrial effluents using aquatic organisms such as water flea (Daphnia magna), algae (Pseudokirchneriella subcapitata), fish (Oryzias latipes, Danio rerio), and microorganism (Vibrio fisheri). In addition, we carried out chemical analysis and TIE (Toxicity Identification Evaluation) for effluents in order to identify the substances causing toxicity. Among the 30 kinds of wastewater, S13 showed the highest eco-toxicity and $Ca^{2+}$ and $Cl^-$ ion were suspected as major compounds causing toxicity for aquatic organisms. In order to confirm these suspected compounds, various confirmation procedures need to be carried out.

• 한국의류학회지
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• 제32권12호
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• pp.1891-1902
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• 2008

본 연구는 점점 더 경쟁이 심화되고 있는 인터넷 의류시장에서 기업의 수익과 제품 관리에 영향을 미치는 소비자들의 반품행동에 관심을 갖고, 이들 반품에 영향을 미치는 결정요인 및 영향요인들의 경로관계를 규명하고자 하였다. 본 연구를 위해 인터넷 의류구매경험이 있는 20대 및 30대 남녀 소비자 517명에게 설문조사를 하였다. 반품행동에 영향을 미치는 요인의 영향을 알아본 결과, 반품여부에는 위험지각, 정보탐색, 충동구매, 구매경험, 연령이 정적인 영향을 미쳤으며 반품정도에는 충동구매, 구매경험, 성이 유의한 영향을 미쳤으나 위험지각, 정보탐색, 연령은 유의하지 않은 것으로 나타났다. 한편 반품의도에는 위험지각, 성, 연령의 영향은 유의하였으나 정보탐색, 충동구매, 구매경험의 영향은 유의하지 않은 것으로 나타났다. 반품행동에 영향을 미치는 요인들의 경로관계를 분석한 결과, 반품여부에는 위험지각이 정적으로 직접적 영향을 미치고 정보탐색은 직접적 영향뿐만 아니라 구매경험 및 충동구매를 통한 간접적 영향도 미치는 것으로 나타났다. 또한 반품정도에는 위험지각의 영향은 없었고 정보탐색은 구매경험과 충동구매를 매개로 한 간접적 영향을 미치는 것으로 나타났다. 본 연구는 인터넷 쇼핑몰이 반품율을 감소시키고 반품정책을 수립하는데 필요한 소비자들의 반품행동특성을 제공하였다는데 의의가 있다.

• 벤처혁신연구
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• 제6권1호
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• pp.1-16
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• 2023

4차산업혁명의 진전과 코로나19 팬데믹으로 인하여 구독경제가 급격히 확산 되고 있다. 특히 제품의 서비스화가 진전되면서 구독경제는 더욱 확대될 것으로 보인다. 본 연구에서는 이러한 구독경제의 확산을 위해 소비자 관점에서 이를 촉진하는 요인과 방해하는 요인에 대해 실증적으로 분석하고자 했다. 이를 위해 품질에서 만족, 충성도, 성과로 이어지는 매커니즘을 밝힌 SPC(Service Profit Chain) 모델을 토대로 혜택 요인과 희생 요인을 함께 다루고 있는 VAM(Value-based Adoption Model)의 framework을 결합하여 연구 모형을 도출하였다. 혜택 요인으로 유용성과 편의성을, 희생 요인으로 인지된 위험과 인지된 비용을 도출하였다. 이러한 요인들이 이용 만족도와 지속 이용 의도에 미치는 영향을 분석하였다. 실증 분석을 위해 구독경제 이용 경험이 있는 사람들을 대상으로 설문조사를 실시하였으며, 유효한 300부를 분석하였다. 분석은 AMOS 24를 활용하여 구조방정식으로 하였다. 실증 분석 결과 편의성은 이용 만족도에 유의한 정(+)의 영향을 미치는 것으로 나타났다. 인지된 위험과 인지된 비용은 이용 만족도에 부(-)의 영향을 미치는 것으로 분석되었다. 반면, 유용성은 이용 만족도에 유의한 영향을 미치지 않는 것으로 나타났다. 이용 만족도에 영향을 미치는 영향력의 크기는 인지된 비용, 편의성, 인지된 위험 순이었다. 이용 만족도는 지속 이용 의도에 유의한 정(+)의 영향을 미치는 것으로 나타났다. 이러한 연구 결과는 학술적인 차원에서 기존의 검정된 모형을 결합하여 그 유효성을 검정하므로서 연구의 지평을 넓혔고, 실무적 차원에서는 인지된 비용이 여전히 중요한 요인임을 검정하였다는 점에서 의의가 있는 것으로 사료 된다.

• Nutrition Research and Practice
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• 제18권4호
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• pp.554-566
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• 2024

BACKGROUND/OBJECTIVES: Urban-rural inequities in health and mortality exist in Korea, a highly centralized developed country. The potential impact of multiple health-related lifestyle behaviors on mortality and difference between urban and rural areas is not fully understood. This study aimed to investigate the effect of high-risk health behaviors on all-cause mortality among residents living in urban and rural in Korea. SUBJECTS/METHODS: Cross-sectional analyses were conducted on 8,298 adults aged 40 yrs and older from the Korea National Health and Nutrition Examination Survey 2013-2015. High-risk behaviors were defined as having poor diet quality, current smoking, high-risk drinking, or insufficient physical activity. Mortality status was linked to the Cause of Death data followed up to December 31, 2019. The associations between all-cause mortality and high-risk behaviors were evaluated using Cox proportional hazard regression models adjusted for age, sex, education, income, and survey year. Population attributable fractions (PAFs) were calculated, and effect modification analysis was conducted. Participants were stratified by residential area (urban or rural). RESULTS: During the follow-up (median: 5.4 yrs), 313 deaths occurred. A higher proportion of rural residents than urban residents engaged in multiple high-risk behaviors (28.9% vs. 22.6%; P < 0.0001). As individual factors, a greater risk of mortality was associated with poor diet quality, current smoking, and inadequate physical activity, and these tendencies persisted in rural residents, especially for diet quality. Multiple high-risk behaviors were positively associated with a higher risk of mortality in Koreans living in urban and rural areas. PAF (95% confidence interval) was 18.5% (7.35-27.9%) and 29.8% (16.1-40.2%) in urban and rural residents, respectively. No additive or multiplicative effect of the region was observed. CONCLUSION: The higher prevalence of multiple high-risk lifestyle behaviors in rural residents may explain the higher mortality in rural areas compared to urban areas. Comprehensive public health policies to improve health-related behaviors in rural populations may be needed.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2004년도 추계학술대회 논문집
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• pp.1071-1076
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• 2004

The purpose. in this study. is to analyze liquefaction potential of Inchon International Airport at the Area Phase ' I ' for Railway Construction of all, seismic response was analyzed using the computer program, Shake91. Four methods proposed by Seed & Idriss. Eurocode, Iwasaki & Tatsuoka. and Ishihara were used for assessment of liquefaction potential and safety factors calculated form these methods are compared. Based on the results of seismic response analysis, the maximum acceleration at the ground surface is larger than that evaluated site factor effect by using site factor because these areas are composed of very loose sand clay. Especially, in the case of analysis with long period earthquake data. it is appeared that the acceleration of earthquake is amplified more largely. Therefore, accurate seismic response analysis is suggested for the design on the important structures on reclaimed land. The analytical results of liquefaction potential show that the increments of N-value and effective overburden pressure with remediation make safety factors increase. Through comparing the safety factors evaluated from four method, the safety factor calculated by See & Idriss method in the lowest one and it is found that the SPT N-value effect the safety factor very largely. And, Iwasaki & Tatsuoka method is affected by various factors such as average grain size. fine contents, confining pressure. In conclusion. to minimize earthquake Risk by liquefaction, the efficient remediation is essential and seismic response analysis should be carride out.

• 자원ㆍ환경경제연구
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• 제22권1호
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• pp.99-125
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• 2013

신재생에너지 산업은 유망한 미래를 가지고 있지만 아직 미성숙한 산업의 특성상 높은 리스크를 지니고 있다. 국내 신재생에너지 산업의 성장을 위해서는 국내의 신재생에너지 기업들의 리스크 요인들을 파악하고 그것들을 저감시켜 줄 수 있는 방안을 찾는 것이 중요하다. 따라서 본 연구에서는 국내 신재생에너지 기업들을 대상으로 리스크 요인을 파악하고 리스크를 감소시킬 수 있는 방안을 찾아보고자 하였다. 본 연구에서는 기업의 리스크를 주가의 관점에서 시장 주가의 변동 대비 기업 주가의 변동 정도로 파악하여 연구를 진행하였다. 분석결과 국내 신재생에너지 기업의 리스크에 영향을 미치는 기업 내부 요인들을 찾았다. 분석 결과 기업의 규모, 기업의 부채 비율의 증가율, 기업의 다각화 수준이 유의한 결과를 나타내었다. 기업의 규모가 클수록 기업의 리스크는 감소하는 것으로 나타났으며, 기업의 부채 비율의 증가율과 다각화 수준이 높을수록 기업의 리스크는 증가하는 것으로 나타났다. 두 번째로 기업 외부 요인 중 높은 풍력 및 태양광 국내 설치량 증가율과 높은 정부 R&D 지원의 증가율이 신재생에너지 기업의 리스크를 감소시킴을 확인하였다. 세 번째로 각 요소들의 신재생에너지 기업의 리스크에 대한 상대적 영향도를 파악하였다. 민감도 분석 결과 신재생에너지 기업의 리스크에 영향을 미치는 요소들은 국내 연간 설치량 증가율, 사업규모 또는 기업의 사업다각화 수준, 부채 비율 증가율, 정부 R&D 지원 증가율 순으로 그 영향도가 큰 것으로 나타났다.

• Journal of Gastric Cancer
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• 제11권2호
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• pp.116-121
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• 2011

Purpose: Gastric cancer surgery is a common operation in East Asia, such as Korea and Japan, and there has been a significant increase in the need for this procedure due to the aging population. As a result, surgery for the treatment of gastric cancer for elderly patients is expected to increase. This study examined the effect of old age on gastric cancer surgery, and analyzed the operative risk factors for elderly patients. Materials and Methods: From November 2008 to August 2010, 590 patients, who underwent a curative resection for gastric cancers, were enrolled. Patients who underwent palliative or emergency surgery were excluded. A retrospective analysis of the correlation between surgical outcomes and age was performed. The elderly were defined as patients who were over the age of 65 years. Results: The mean age of all patients was 58.3 years, and complications occurred in 87 cases (14.7%). The most common complication was wound infection and severe complications requiring surgical, endoscopic, or radiologic intervention developed in 52 cases (8.8%). The rate of complications increased with increasing age of the patients. Univariate analysis revealed age, comorbidity, extent of resection, operation time, and combined resection to be associated with surgical complications. In particular, age over 75 years old, operation time, and comorbidity were predictive factors in multivariate analysis. In the elderly, only comorbidity was associated with surgical complications Conclusions: The patients' age is the most important factor for predicting surgical complications. Surgeons should pay an attention to the performance of gastric cancer surgery on elderly patients. In particular, it must be performed carefully for elderly patients with a comorbidity.