• Title/Summary/Keyword: Five-Factors Analysis

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Treatment Outcome and Analysis of the Prognostic Factors of Ductal Carcinoma in situ Treated with Breast Conserving Surgery and Radiotherapy (유방 관상피내암의 유방 보존술 후 방사선 치료의 성적과 예후 인자 분석)

  • Kim, Kyoung-Ju;Huh, Seung-Jae;Park, Won;Yang, Jeong-Hyeon;Nam, Seog-Jin;Kim, Jeong-Han;Lee, Sung-Kong;Lee, Jee-Hyun;Kang, Sung-Soo;Lee, Jeong-Eun;Kang, Min-Kyu;Park, Young-Je;Nam, Hee-Rim
    • Radiation Oncology Journal
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    • v.22 no.1
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    • pp.11-16
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    • 2004
  • Purpose: To evaluate the survival rate, local failure rate and patterns of failure, and analyze the prognostic factors affecting local relapse of ductal carcinoma in situ treated with breast conserving surgery and radiotherapy Materials and Methods: From June 1995 to December 2001, 96 patients with ductal carcinoma in situ treated with breast conserving surgery and radiotherapy were retrospectively analyzed. The operations were either local or wide excision in all patients, with an axillary lymph node dissection performed in some patients. Radiation dose to the whole breast was 50.4 Gy, over 5 weeks, with 1.8 Gy daily fractions, with additional doses ($10\~14$ Gy) administered to the primary tumor bed in some patients with close ($\leq$2 mm) or positive resection margin. The median follow-up period was 43 months (range $10\~102$ months). Results: The 5-year local relapse free survival and overall survival rates were 91 and $100\%$ respectively. Local relapse occurred in 6 patients ($6.3\%$). Of the 6 recurrences, one was invasive ductal cell carcinoma. With the exception of one, all patients recurred 2 years after surgery. There was no regional recurrence or distant metastasis. Five patients with local recurrence were salvaged with total mastectomy, and are alive with no evidence of disease. One patient with recurrent invasive ductal cell carcinoma will receive salvage treatment. On analysis of the prognostic factors affecting local relapse, none of the factors among the age, status of resection margin, comedo type and nuclear grade affected local relapse. Operation extent also did not affect local control (p=0.30). In the patients with close resection margin, boost irradiation to the primary tumor bed did not affect local control (p=1.0). Conclusions: The survival rate and local control of the patients with ductal carcinoma in situ treated with breast conserving surgery and radiotherapy were excellent. Close resection margin and boost irradiation to the primary tumor bed did not affect local relapse, but further follow-up with much more patients is needed.

An Analysis of Prognostic Factors Affecting the Outcome of Radiation Therapy for Nasopharyngeal Carcinoma (비인강암의 방사선치료 곁과 및 생존율에 관한 예후인자 분석)

  • Jung, Young-Yeon;Kim, Ok-Bae;Kim, Jin-Hee
    • Radiation Oncology Journal
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    • v.23 no.2
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    • pp.71-77
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    • 2005
  • Purpose: This retrospective study was conduced to analyze the treatment results and to evaluate the prognostic factors affecting the survival of nasopharyngeal carcinoma patients. Materials and Methods: From 1987 to 2002, we analyzed 43 patients who had nasopharyngeal carcinomas that were histologically confirmed and who had also completed the planned radiation therapy course at Keimyung University Dongsan Medical Center According to the 6th edition of American Joint Committee on Cancer staging system, 12 patients ($27.9\%$) were at Stage 11, 13 ($30.2\%$) were at Stage III and 18 ($41.9\%$) were at Stage IV Histopathologically, there were 15 ($34.9\%$) squamous cell carcinomas, 8 ($18.5\%$) nonkeratinizing carcinomas, 17 ($39.5\%$) undifferentiated carcinomas, and 3 ($7.0\%$) lymphoepitheliomas. Among the total 43 patients, 31 patients ($72.1\%$) were treated with only radiation therapy. Neoadjuvant chemotherapy was peformed on 7 patients ($16.3\%$) and concurrent chemoradiotherapy was performed on S patients ($11.6\%$). Cisplatin and 5-Fluorouracil were administered to 11 patients for 4 cycles, and Cisplatin and Taxotere were administered to 1 patient for 6 cycles. The range of the total radiation dose delivered to the primary tumor was from 61.2 to 84 Gy (median 70.4 Gy), The follow-up period ranged from 2 to 197 months with median follow-up of 84 months. Results: The local control rate at 6 months after radiation therapy was $90.7\%$. The five year overall survival and disease free survival rates were $50.7\%$ and $48.9\%$, respectively. On the multivariate analysis, the age, T-stage ($T_{1-3}\;vs\;T_4$), N-stage and AJCC stage were the statistically significant prognostic factors affecting survival (p<0.05). The patterns of failure were as follows: local failure only in 3 patients ($7.0\%$), local and systemic failure in 1 patient ($2.3\%$), and distant metastasis only in 11 patients ($25.6\%$). Conclusion: The prognostic factors affecting the outcome of nasopharyngeal carcinoma were age, T-stage (7$T_{1-3}\;vs\;T_4$), N-stage and stage. Because systemic metastasis was the main failure pattern noted for nasopharyngeal carcinoma, systemic chemotherapy is needed to decrease the rate of distant metastasis for nasopharyngeal carcinoma. In audition, research for more effective chemotherapeutical regimens and schedules is also needed.

Postoperstive Chemoradiotherapy in Locally Advanced Rectal Cancer (국소 진행된 직장암에서 수술 후 화학방사선요법)

  • Chai, Gyu-Young;Kang, Ki-Mun;Choi, Sang-Gyeong
    • Radiation Oncology Journal
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    • v.20 no.3
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    • pp.221-227
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    • 2002
  • Purpose : To evaluate the role of postoperative chemoradiotherapy in locally advanced rectal cancer, we retrospectively analyzed the treatment results of patients treated by curative surgical resection and postoperative chemoradiotherapy. Materials and Methods : From April 1989 through December 1998, 119 patients were treated with curative surgery and postoperative chemoradiotherapy for rectal carcinoma in Gyeongsang National University Hospital. Patient age ranged from 32 to 73 years, with a median age of 56 years. Low anterior resection was peformed in 59 patients, and abdominoperineal resection in 60. Forty-three patients were AJCC stage II and 76 were stage III. Radiation was delivered with 6 MV X rays using either AP-PA two fields, AP-PA both lateral four fields, or PA both lateral three fields. Total radiation dose ranged from 40 Gy to 56 Gy. In 73 patients, bolus infusions of 5-FU $(400\;mg/m^2)$ were given during the first and fourth weeks of radiotherapy. After completion of radiotherapy, an additional four to six cycles of 5-FU were given. Oral 5-FU (Furtulone) was given for nine months in 46 patients. Results : Forty $(33.7\%)$ of the 119 patients showed treatment failure. Local failure occurred in 16 $(13.5\%)$ patients, 1 $(2.3\%)$ of 43 stage II patients and 15 $(19.7\%)$ of 76 stage III patients. Distant failure occurred in 31 $(26.1\%)$ patients, among whom 5 $(11.6\%)$ were stage II and 26 $(34.2\%)$ were stage III. Five-year actuarial survival was $56.2\%$ overall, $71.1\%$ in stage II patients and $49.1\%$ in stage III patients (p=0.0008). Five-year disease free survival was $53.3\%$ overall, $68.1\%$ in stage II and $45.8\%$ in stage III (p=0.0006). Multivariate analysis showed that T stage and N stage were significant prognostic factors for five year survival, and that T stage, N stage, and preoperative CEA value were significant prognostic factors for five year disease free survival. Bowel complication occurred in 22 patients, and was treated surgically in 15 $(12.6\%)$, and conservatively in 7 $(5.9\%)$. Conclusion : Postoperative chemoradiotherapy was confirmed to be an effective modality for local control of rectal cancer, but the distant failure rate remained high. More effective modalities should be investigated to lower the distant failure rate.

Antecedents of Manufacturer's Private Label Program Engagement : A Focus on Strategic Market Management Perspective (제조업체 Private Labels 도입의 선행요인 : 전략적 시장관리 관점을 중심으로)

  • Lim, Chae-Un;Yi, Ho-Taek
    • Journal of Distribution Research
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    • v.17 no.1
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    • pp.65-86
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    • 2012
  • The $20^{th}$ century was the era of manufacturer brands which built higher brand equity for consumers. Consumers moved from generic products of inconsistent quality produced by local factories in the $19^{th}$ century to branded products from global manufacturers and manufacturer brands reached consumers through distributors and retailers. Retailers were relatively small compared to their largest suppliers. However, sometime in the 1970s, things began to slowly change as retailers started to develop their own national chains and began international expansion, and consolidation of the retail industry from mom-and-pop stores to global players was well under way (Kumar and Steenkamp 2007, p.2) In South Korea, since the middle of the 1990s, the bulking up of retailers that started then has changed the balance of power between manufacturers and retailers. Retailer private labels, generally referred to as own labels, store brands, distributors own private-label, home brand or own label brand have also been performing strongly in every single local market (Bushman 1993; De Wulf et al. 2005). Private labels now account for one out of every five items sold every day in U.S. supermarkets, drug chains, and mass merchandisers (Kumar and Steenkamp 2007), and the market share in Western Europe is even larger (Euromonitor 2007). In the UK, grocery market share of private labels grew from 39% of sales in 2008 to 41% in 2010 (Marian 2010). Planet Retail (2007, p.1) recently concluded that "[PLs] are set for accelerated growth, with the majority of the world's leading grocers increasing their own label penetration." Private labels have gained wide attention both in the academic literature and popular business press and there is a glowing academic research to the perspective of manufacturers and retailers. Empirical research on private labels has mainly studies the factors explaining private labels market shares across product categories and/or retail chains (Dahr and Hoch 1997; Hoch and Banerji, 1993), factors influencing the private labels proneness of consumers (Baltas and Doyle 1998; Burton et al. 1998; Richardson et al. 1996) and factors how to react brand manufacturers towards PLs (Dunne and Narasimhan 1999; Hoch 1996; Quelch and Harding 1996; Verhoef et al. 2000). Nevertheless, empirical research on factors influencing the production in terms of a manufacturer-retailer is rather anecdotal than theory-based. The objective of this paper is to bridge the gap in these two types of research and explore the factors which influence on manufacturer's private label production based on two competing theories: S-C-P (Structure - Conduct - Performance) paradigm and resource-based theory. In order to do so, the authors used in-depth interview with marketing managers, reviewed retail press and research and presents the conceptual framework that integrates the major determinants of private labels production. From a manufacturer's perspective, supplying private labels often starts on a strategic basis. When a manufacturer engages in private labels, the manufacturer does not have to spend on advertising, retailer promotions or maintain a dedicated sales force. Moreover, if a manufacturer has weak marketing capabilities, the manufacturer can make use of retailer's marketing capability to produce private labels and lessen its marketing cost and increases its profit margin. Figure 1. is the theoretical framework based on a strategic market management perspective, integrated concept of both S-C-P paradigm and resource-based theory. The model includes one mediate variable, marketing capabilities, and the other moderate variable, competitive intensity. Manufacturer's national brand reputation, firm's marketing investment, and product portfolio, which are hypothesized to positively affected manufacturer's marketing capabilities. Then, marketing capabilities has negatively effected on private label production. Moderating effects of competitive intensity are hypothesized on the relationship between marketing capabilities and private label production. To verify the proposed research model and hypotheses, data were collected from 192 manufacturers (212 responses) who are producing private labels in South Korea. Cronbach's alpha test, explanatory / comfirmatory factor analysis, and correlation analysis were employed to validate hypotheses. The following results were drawing using structural equation modeling and all hypotheses are supported. Findings indicate that manufacturer's private label production is strongly related to its marketing capabilities. Consumer marketing capabilities, in turn, is directly connected with the 3 strategic factors (e.g., marketing investment, manufacturer's national brand reputation, and product portfolio). It is moderated by competitive intensity between marketing capabilities and private label production. In conclusion, this research may be the first study to investigate the reasons manufacturers engage in private labels based on two competing theoretic views, S-C-P paradigm and resource-based theory. The private label phenomenon has received growing attention by marketing scholars. In many industries, private labels represent formidable competition to manufacturer brands and manufacturers have a dilemma with selling to as well as competing with their retailers. The current study suggests key factors when manufacturers consider engaging in private label production.

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The Analysis of Job Stress of Workers in the Architectural Design Firm After the Introduction of BIM (BIM 도입 후 설계사무소 실무자들의 직무스트레스 분석)

  • Seo, Hee-Chang;Oh, Jung-Keun;Kim, Jea-Jun
    • Korean Journal of Construction Engineering and Management
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    • v.13 no.4
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    • pp.120-131
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    • 2012
  • Today, companies exist amid unlimited competition and uncertain adminstration environment, so hands-on workers are being exposed to various job requirements and stress due to this. Especially, employees in the design firm are physically difficult because of heavy working intensity unlike other industrial field, and because the process is interrelated unlike working of a five-day workday of the other industry, it is difficult to guarantee periodic holidays and vacation. In addition, recently, while BIM is introduced in the construction industry, various changes in the individual role as well as organizational dimension such as business environment and scope & role, etc. are required, so it is the actual situation that the category and factors of job stress due to this are being also changed. Accordingly, this research has grasped important and weak sectors according to characteristics such as career, position, gender, education and existence/nonexistence of BIM template, etc. by confirming a job stress level and inducing factors of hands-on workers at the design firm. This research has a meaning in constructing a business environment of a design firm that is a main participant of BIM-based projects that are expected to have high utilization in the future.

Assessment of Technology Based Industrial Wastewater Effluent Limitation and Standards for the Application of Domestic Industries (II) : Analysis Pollution Loads Contribution by Risk Assessment Indicator in Industrial Wastewater (처리기술에 근거한 산업폐수 배출허용기준 국내 적용성 연구(II) : 산업폐수 위해성 지표를 이용한 오염부하 기여도 분석)

  • Kim, Kyeongjin;Kim, Wongi;Jung, Sanggu;Jung, Jinyoung;Kim, Jaehun;Kim, Sanghun;Yeom, Icktae
    • Journal of Korean Society on Water Environment
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    • v.26 no.2
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    • pp.191-199
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    • 2010
  • Introduction of Technology-Based Effluent Limitations (TBELs) concepts into Korea requires extensive and through analyses on the expected pollutants reduction effects and the cost factor for the industry side. In addition, the TEBLs should be optimized for the regulatory environments of Korea and be applied in a progressive manner to minimize the undesirable effects. It is also necessary to assess the contribution of each industrial categories's to the pollution of natural water bodies to find the priority of TEBLs application. For these purposes, the pollution loads of various industrial categories were analyzed using risk assessment indicator based on Toxic Weighting Factors (TWFs). First, the TWFs were calculated for the pollutants regulated using the method adopted by USEPA. And the effluent characteristics of the eighty two categories of industry in Korea were investigated. Although the analytical data on the wastewater from different industrial categories are relatively limited, the results from two previous studies were used. The first study, conducted by the National Institute of Environmental Research in 2001~2004, investigated the wastewater characteristics from 255 industrial sources covering the major 20 industrial categories. The second study includes more recent analytical data for the wastewater from 500 industrial sources, covering all the 82 industrial categories. In the result of the pollution loads analyses, the category of 'Synthetic and Chemical manufacture' was found to show the highest raw pollution load. On the other hand the category of 'Ion & Steel manufacture' was found to show the highest effluent pollution loads, which can be considered as the real impacts on natural water streams. The top five categories occupied 62.2% of the total effluent pollution loads. Through the analyses, the relative importances of each industrial categories and the priorities of TEBL-based pollution reduction were determined.

Interleukin 10 rs1800872 T>G Polymorphism was Associated with an Increased Risk of Esophageal Cancer in a Chinese Population

  • Sun, Jia-Ming;Li, Qiong;Gu, Hai-Yong;Chen, Yi-Jang;Wei, Ji-Shu;Zhu, Quan;Chen, Liang
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.6
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    • pp.3443-3447
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    • 2013
  • Aim: Esophageal cancer is the eighth most common cancer and sixth leading cause of cancer associated death worldwide. The 5 year survival rate for esophageal cancer patients is very poor and accounts for only 12.3%. Besides environmental risk factors, genetic factors might play an important role in the esophageal cancer carcinogenesis. Methods: We conducted a hospital based case-control study to evaluate the genetic effects of functional single nucleotide polymorphisms (SNPs): interleukin 9 (IL9) rs31563 C>T, IL9 rs31564 G>T, IL10 rs1800872 T>G, IL12A rs2243115 T>G, IL12B rs3212227 T>G and IL13 rs1800925 C>T on the development of esophageal cancer. A total of 380 esophageal squamous cell carcinoma (ESCC) cases and 380 controls were recruited for this study. The genotypes were determined using a custom-by-design 48-Plex SNPscan$^{TM}$ Kit. Results: The IL10 rs1800872 T>G polymorphism was associated with an increased risk of ESCC. However, there were no significant links with the other five SNPs. Stratified analyses indicated no significant risk of ESCC associated with the IL10 rs1800872 T>G polymorphism evident among any subgroups. Conclusion: These findings indicated that functional polymorphism IL10 rs1800872 T>G might contribute to ESCC susceptibility. However, our results were obtained with a limited sample size, so that the power of our analysis was low. Future larger studies with more rigorous study designs of other ethnic populations are required to confirm the current findings.

An Analysis of Factors Influencing on Satisfaction Level of Agricultural and Rural Polices (농업인의 농업·농촌 정책 만족도 결정요인 분석)

  • Kim, Seon-Ae;Moon, Seung Tae
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.4
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    • pp.1105-1147
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    • 2013
  • To investigate farmers' satisfaction level and factors influencing on various agricultural and rural policies, an interview survey has been carried out in Jeonnam and Jeonbuk agricultural area, and collected 750 survey questionnaires from farmers. Satisfaction level was low in average ranging from 2.71 to 3.09 in five point Likert-scale on 22 agricultural-rural related policies. Ordered logit model results showed that satisfaction level decreased when farmers are older, had higher income, and had higher number of attendance in agricultural education programme. In addition, satisfaction level decreased when farms had main source of income from rice farming, dry-field farming, livestock farming, or facility horticulture. Lower satisfaction level was also related to location of farm. On the contrary, satisfaction level increased when the farmer had greater owned land. Among 22 agricultural and rural policies, practices that farmers prefer include Direct Payment for Rice Farming Income Compensation, Environment-Friendly Farming Service, Farmland Banking Services in order. Since direct payment policies that farmers prefer may not contribute in development of agriculture, policies can induce both farm income and agricultural development may increase farmer satisfaction level and finally resolve the income gap between the urban workers and farmers.

THE PSYCHOSOCIAL CHARACTERISTICS OF ADOLESCENT DRUG USER (약물사용 청소년의 심리-사회적 특성)

  • Park, Joong-Kyu;Choi, Jung-Hun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.130-147
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    • 1990
  • This study intended to investigate the characteristics of adolescent drug user in Korea. A questionnaire on adolescent drug use was administered to 1st or 2nd grade 898 students (465 males, 433 females) from 9 senior high schools in Seoul area. The extent of current using six representative drugs such as cigarettes, alcohol, chemical substance inducing hallucination(e,g., thinner, bond etc.), psychostimulant, hypnotic and minor tranqulizer was self-reported. Also their psychological distress, self-concept and individual-related variables such as academic grade, deviant behavior, drug-using peers, the perceived availability of drugs, the degree of family discipline, and the perceived parents' attitude for drinking and smoking were surveyed. Subjects were grouped into six(male) or five(female) subgroups (nonuser, simple experiencer, one kind of drug user, two kinds of drugs user, three kinds of drugs user(male only), minor tranqulizer user) to their extent of drug use. Then ANOVA procedure performed for group comparison of their psychological distress, self-concept and individual-related variables. The results showed that the most popular drugs among adolescents in Korea were cigarettes and alcohol. Minor tranqulizer was used by about 2.8% of male and 7.41% of female subjects. In general abusers showed lower academic grade, more deviant experiences, having more drug-using peers, higher degree of psychological distress, and lower postitive self-concept than nonuser group. According to the results of discriminant analysis, hostility and deviant behavior were reliable predictive variables that distinguished abuser group from nonuser group among the associated variables in this study. These results suggest that some common factors affect drug use of Korean high school students : high school students who have many common risk factors could be abusers more easily. These findings supported risk factor theory that the extent of drug use of adolescents might be associated with general maladjustment in everyday life.

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The Study on the Effect of Ego-resilience, Empathic Ability of Preliminary Broadcasters on Communication Ability : Focusing on General Characteristics (예비방송인들의 자아탄력성, 공감능력이 의사소통능력에 미치는 영향 연구 : 일반적 특성을 중심으로)

  • Jung, Mi-young
    • The Journal of the Korea Contents Association
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    • v.20 no.6
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    • pp.579-589
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    • 2020
  • The purpose of this study is to understand the effects of ego-resilience, empathic ability of preliminary broadcasters on communication ability and to explore what university should do. The subjects of the study analyzed the relationship between self-resilience, empathic ability and communication ability among 333 preliminary broadcasters in the journal and broadcasting, media related departments of five universities in Busan. As a result of the research analysis, first, the preliminary broadcasters had the highest empathic ability, followed by communication ability and ego-resilience. Second, ego resilience according to the general characteristics of preliminary broadcasters was significantly different according to gender, major satisfaction, and club activities. There were significant differences according to satisfaction and club activities. Third, the correlation between ego resilience, empathic ability, and communication ability of preliminary broadcasters has a significant static correlation, and the correlation between empathic ability and communication ability is the highest. Fourth, the factors influencing communication ability were empathic ability, ego resilience, and gender. It will be meaningful as a study that the factors influencing communication ability related to preliminary broadcasters are empathic and ego resilience. Therefore, it is necessary to prepare a plan such as opening a curriculum to improve the communication ability of preliminary broadcasters.