The purpose of this study is to investigate recognition degree and acceptability of fashion trends of new consumers who live in digital era, and to determine how these factors have influence on their use of fashion trend information. The study was conducted with 696 people from 15 to 34 years old. A self-administrated questionnaire based on the results of previous researches was developed. The data were analyzed with statistical analyses such as frequency analysis, mean, factor analysis, t-test, ANOVA, correlation and regression analysis. The results are as follows: first, new digital consumer's recognition degree (RD) of fashion trends is 7.85 on the average, given that the top of scale is 20.0, it is quite low. Of fashion trend RD, fashion item RD is the highest. The female subjects recognize fashion trends better than the male subjects. Second, fashion trend acceptance of new digital generation is classified into 5 factors: 'search acceptance', 'lead acceptance', 'follow acceptance', 'non-acceptance', and 'delay acceptance'. The female subjects show higher degree in the factors of 'search acceptance', 'lead acceptance' and 'follow acceptance' of fashion trend than the males; hence it means that the females have more positive attitudes in fashion trend acceptance than the males. Third, there are significant differences between genders in the fashion information utilization. Compared to the males, the females more use fashion information on style, fabrics and color. Concludingly, their fashion trend recognition degree and acceptance made an influence in part on their utilization of fashion information.
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.
Kim, Hyun-Shik;Miyashita, Masashi;Harada, Kazuhiro;Park, Jong-Hwan;So, Jae-Moo;Nakamura, Yoshio
Journal of Preventive Medicine and Public Health
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제45권4호
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pp.244-250
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2012
Objectives: The purpose of the study was to examine the relationships among the psychological, social, and environmental factors influencing the utilization of senior centers among older adults in Korea. Methods: A questionnaire survey was administered to two types of older adults who lived in Seoul, Korea: 262 older adults who used senior centers (3 places) and 156 older adults who did not use senior centers. Results: Our results showed clearly that the utilization of the senior centers in Korea is affected by higher self-efficacy (odds ratio [OR], 6.08; 95% confidence interval [CI], 3.31 to 12.32), higher perceived benefits (OR, 1.71; 95% CI, 1.16 to 4.36), lower perceived barriers (OR, 6.43; 95% CI, 3.07 to 11.45), higher family support (OR, 4.21; 95% CI, 2.02 to 8.77), and higher support from friends (OR, 4.08; 95% CI, 2.38 to 7.81). The results also showed that participants whose total travel time was 15 to 29 minutes (OR, 2.84; 95% CI, 1.21 to 3.64) or less than 14 minutes (OR, 4.68; 95% CI, 3.41 to 8.41) were more likely to use a senior center than those who had to travel more than 30 minutes. Conclusions: This study showed that the utilization of senior centers in Korea is affected by psychological, social, and environmental factors, specifically by self-efficacy, perceived benefits, perceived barriers, social support, convenience of transportation, and total travel time to the senior centers. The effects of longer-term utilization of the senior centers by non-users on health-related outcomes in a large population warrant attention.
The aim of this paper is to find out whether there is a difference in adopting and/or diffusing the information and communication technology (ICT) between countries. If there is, what are the primary factors that keep some countries from adopting and diffusing ICT while others do? To analyze the above problem, we adopted the Unified Theory of Acceptance and Use of Technology (UTAUT) suggested by Venkatesh et al. (2003), which consists of effort expectancy, performance expectancy and social influence. We also use the innovation diffusion functions, which are known to have the S-shape and are made up of the introduction, growth, maturity and decline phases. We do not, however, consider the decline phase, because the ICT that we are considering is not believed to be in that phase. Therefore, we researched how the three factors affect adoption in the three phases. We selected the cellular phone as the ICT, because it is considered to be the most popularly used ICT and its technology has been developing rapidly. We surveyed the cellular phone adopters in Korea, and the U.S. for 15 years from 1989 to 2003. Korea, and the U.S. represent newly developed and developed countries, respectively. For the data analysis, a survival analysis was used, as it could explain the characteristics of the potential adopters or non-adopters. We found that the ICT diffusion patterns, as well as the ICT diffusion factors, of the two countries were different. Therefore, we believe that the results of our research can be used in building strategies on reducing the digital divide gaps between countries.
Local anesthetic systemic toxicity (LAST) refers to the complication affecting the central nervous system (CNS) and cardiovascular system (CVS) due to the overdose of local anesthesia. Its reported prevalence is 0.27/1000, and the representative symptoms range from dizziness to unconsciousness in the CNS and from arrhythmias to cardiac arrest in the CVS. Predisposing factors of LAST include extremes of age, pregnancy, renal disease, cardiac disease, hepatic dysfunction, and drug-associated factors. To prevent the LAST, it is necessary to recognize the risk factors for each patient, choose a safe drug and dose of local anesthesia, use vasoconstrictor, confirm aspiration and use incremental injection techniques. According to the treatment guidelines for LAST, immediate application of lipid emulsion plays an important role. Although lipid emulsion is commonly used for parenteral nutrition, it has recently been widely used as a non-specific antidote for various types of drug toxicity, such as LAST treatment. According to the recently published guidelines, 20% lipid emulsion is to be intravenously injected at 1.5 mL/kg. After bolus injection, 15 mL/kg/h of lipid emulsion is to be continuously injected for LAST. However, caution must be observed for >1000 mL of injection, which is the maximum dose. We reviewed the incidence, mechanism, prevention, and treatment guidelines, and a serious complication of LAST occurring due to dental anesthesia. Furthermore, we introduced lipid emulsion that has recently been in the spotlight as the therapeutic strategy for LAST.
Kim, Hyunwook;Kim, Hyoung-Ah;Roh, Young-Man;Chang, Sung-Sil
Journal of Korean Society of Occupational and Environmental Hygiene
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제8권1호
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pp.133-145
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1998
The purposes of this study were to assess current status of respirator usage among workers in the small-scale industries and to identify those factors causing respirator wearers not to continuously wear respirators during work. Total 168 workers participated voluntarily in the survey. In order to cover all possible reasons, though not exclusive, 33 diverse questions were developed based upon the results in the published literatures and from researchers' own experience. The most common type of respirator worn was the disposable single-use respirator(42%). However, masks made of gauze, which should not be considered as a respirator, were widely used (38%). Only 28% of respondents indicated they wear respirators continuously during work. The major reasons for removing respirators include, in descending order of frequency, difficulty in breathing (46%), sweating (39%), bothered by frequent removal (21%), inadequate mask size (19%) and hot air temperature inside the respirator (19%), etc. In addition, minor reasons including mask design, administrative, and personal reasons were also identified. These reasons should be considered in a well designed respirator program in order to improve workers' acceptance and usage of respirators.
Purpose - The ICT(information and communications technologies) development is affecting consumer behaviors on selecting channel or distribution system. This study aims to advance our knowledge about the factors influencing omni-channel behaviors. This study considers the positive brand experience as the moderating variable into the relationship between omini-channel use intention and consumer brand relation. Also, the effect of positive brand experience on consumer-brand relation is researched. Research design, data, and methodology - This study conducted an empirical test with the subject as customers who purchase goods or service through on-off cross channel simultaneously. The research model is developed from prior literatures about influencing variables on channel selection. The structure of this study is designed to identify causal relationships between the variables. 268 survey data from the questionnaire survey which is conducted to target customers who use online and offline channels, is used for empirical analysis. This study validates generality with descriptive statistics and data reliability with Cronbach's alpha value. The exploratory factor analysis is used for value purification. Then, the confirmatory factor analysis is conducted for structural equation modeling. Finally, the execute structural equation modeling is analyzed to confirm the hypotheses Results - First, the two causal influences between perceived performance risk and the propensity of omni-channel and between price consciousness and the propensity of omni-channel are verified through the empirical test. Second, the result identifies that the propensity of omni-channel is influenced on consumer-brand relationship. Third, the AMOS analysis proves that the moderating variable, positive brand experience, has significant positive impact on consumer-brand relationship. This significant relationship is highly supported by the regression analysis between brand experience and propensity of omni-channel because it results that positive brand experience has positive impact on the propensity of omni-channel. All hypotheses are verified to be true. Conclusions - Based on the empirical result, this study confirms that perceived performance risk and price consciousness are the important factors influencing propensity of omni-channel. According to the additional analysis, the moderating variable and positive brand experience plays important role between the propensity of omni-channel and consumer-brand relationship. Furthermore, positive brand experience influences more on consumer-brand relationship than non-positive brand experience.
Arslan, Deniz;Bozcuk, Hakan;Gunduz, Seyda;Tural, Deniz;Tattli, Ali Murat;Uysal, Mukremin;Goksu, Sema Sezgin;Bassorgun, Cumhur Ibrahim;Koral, Lokman;Coskun, Hasan Senol;Ozdogan, Mustafa;Savas, Burhan
Asian Pacific Journal of Cancer Prevention
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제15권6호
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pp.2465-2472
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2014
Background: The American Joint Committee on Cancer (AJCC) published a new staging system ($7^{th}$ edition) in 2009. In our study, we evaluated the survival results and prognostic factors among T4 local advanced non-small cell lung cancer (LA-NSCLC) patients in a large heterogeneous group, in accordance with this new system. Materials and Methods: We retrospectively evaluated the files of 122 T4 N0-3 M0 LA-NSCLC patients, identified according to the new staging system, treated at two centers between November 2003 and June 2012. Variables correlating with univariate survival at p<0.20 were later included in multivariate Cox regression analysis. Here, selection of relevant predictors of survival was carried out in accordance with the likelihood ratio formula with p<0.05 regarded as significant. Results: The median age was 60 and the median follow-up period was 17.4 months. Median overall survival (OS) was 18.3 months, the 1 year overall survival (OS) rate was 72%, and the 5 year OS rate was 28%. Statistically significant predictors of survival were (p<0.20) ECOG-PS (Eastern Cooperative Oncology Group Performance Status), age, T4 factor subgroup, stage and primary treatment in OS univariate analysis. On multivariate analysis for OS ECOG-PS (p=0.001), diagnostic stage (p=0.021), and primary treatment (p=0.004) were significant. In the group receiving non-curative treatment, the median OS was 11.0 months, while it was 19.0 months in the definitive RT group and 26.6 months in the curative treatment group. There was a significant difference between the non-curative group and the groups which had definitive RT and curative operations (respectively p<0.001 and p=0.001) in terms of OS, but not between the groups which had definitive RT and curative operations. The median event free survival (EFS) rate was 9.9 months, with rates of 46% and 19% at 3 and 5 years, respectively. On univariate analysis of EFS rate with ECOG-PS, weight loss and staging, statistical significance was found only for thorax computerized tomography (CT)+18F-fluorodeoxy-glucose positron emission tomography-CT (PET-CT) use, stage and primary treatment (p<0.20). In multivariate analysis with EFS, only the primary treatment was statistically significant (p=0.001). In the group receiving non-curative treatment, the median EFS was 10.5 months while in the curative operation group it was 14.7 months. When all the primary treatment groups were taken into consideration, grade III/IV side effect swas observed in 57 patients (46.6%). Esophagitis was most prominent among those that received definitive radiotherapy. Conclusions: Independent prognostic factors among these 122 heterogeneous LA-NSCLC T4 N0-3 M0 patients were age at diagnosis, ECOG-PS, stage and primary treatment, the last also being a significant prognostic indicator of EFS. Our findings point to the importance of appropriate staging and a multidisciplinary approach with modern imaging methods in this patient group. In those with T4 lesions, treatment selection and the effective use of curative potential should be the most important goal of clinical care.
Due to the recent economic development and the improvement of income level in China, the desire for quality medical services is increasing compared to the past. As an alternative to satisfy these needs, various applications using smart phones and the like are being developed. The new corona that occurred in December 2019 began to show great interest in non-face-to-face telemedicine services using smart phones due to the worldwide spread of the coronavirus. Therefore, in this study, a total of 200 people were surveyed on the top three mobile medical applications in China, and the data of 120 people who actually used medical applications were analyzed based on Venkatesh's UTAUT2 theory. A study was conducted on the intent to use and the factors affecting the in-law behavior. First, it has become clear that the interactive characteristics, expectations for effort, price value, interest in privacy, habits, and promotional conditions have a positive impact on the user's use. Second, it was investigated that the user's intention to use influences the behavior of use, and among the intentions of use, it was found that the mobilization characteristic expectation, hedonistic motivation, price value, habits, and promotion conditions affect the use behavior. Third, a study result was derived that the controlling variables such as gender, age, school age, and annual income do not affect the user's intention to use mobile medical applications as a controlling variable. Finally, due to the nature of mobile devices that use the Internet, various security vulnerabilities exist, and this can cause great damage or personal and social impact. Therefore, for the development of mobile medical services in China, it is necessary to re-establish a research model through comprehensive and in-depth considerations to supplement these problems in the future.
The purpose of this study is to predict the spatio-temporal changes in land uses and to evaluate land-based pollutant loads in the future under Total Water Pollution Load Management System using CLUE-S model. For these ends, sensitive parameters of conversion elasticities in CLUE-S model were calibrated and these calibrated parameters of conversion elasticities, level II land cover map of year 2009, and 7 driving factors of land use changes were used in predicting future land uses in 2002 with two scenarios(Scenario 1: non area restriction, Scenario 2: area restriction). This projected land use map of 2020 was used to estimate land-based pollutant loads. It was expected that urban areas will increase in 2020 from both scenarios 1 and 2. In Scenario 1, urban areas are expected to increase within greenbelt areas and deforest would be expected. Under Scenario 2, these phenomena were not expected. Also the results of estimation of BOD and TP pollutant loads, the BOD difference between scenarios 1 and 2 was 719 kg/day in urban areas and TP difference was 17.60 kg/day in urban areas. As shown in this study, it was found that the CLUE-S model can be useful in future pollutant load estimations because of its capability of projecting future land uses considering various socio-economic driving factors and area-restriction factors, compared with conventionally used land use prediction model.
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