• Title/Summary/Keyword: Indirect effect

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Determinant factors of Exercise behaviors in Patients with Arthritis (관절염 환자의 운동행위 결정요인)

  • Suh, Gil-Hee;Lim, Nan-Young
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.102-130
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    • 2000
  • The aims of this study were to understand and to predict the determinant factors affecting the exercise behaviors and physical fitness by testing the Ponder's health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continuous exercise program, and to help them maximize the physical effect such as muscle strength. endurance, and fuctional status and mental effects including self efficacy and quality of life, and improve the physical and mental wellbeing, and to provide a basis for the nursing intervention strategies. We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul between October 5, 1999 and October 24, 1999. Data were composed of self reported questionnaire and good of fitness score which were obtained by pedalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. 24 Of 54 hypothetical paths were supported in modified model, which was considered as a proper model with improved fit index. The physical fitness was directly influenced by exercise participation behavior and education level, and indirectly by physical fitness, while fatigue, physical disability, pastexercise behavior, life-style, self-efficacy, which explained 20% of physical fitness. The exercise participation were directly influenced by perceived benefits and self-efficacy, and indirectly influenced by life-style, fatigue and physical disability, and directly and indirectly by past exercise behavior, which explained 53% of exercise participation. Exercise score were directly affected by perceived health status, perceived benefits, self efficacy, and past exercise behavior, and were indirectly affected by fatigue, physical disability, and life-style, which explained 50%. Perceived health status were directly influeced by level of education, depression, sleep disorder, and physical disability, which explained 34% of perceived health status. Perceived benefit was directly influenced by fatigue, sleep disorder, physical disability, and life-style, which explained 45%. Perceived barriers was directly influenced by fatigue, sleep disorder, and lifestyle, which explained 9%. Self- efficacy was directly influenced by fatigue, physical disability, past exercise behavior, and level of education, which explained 61%. In conclusion, important variables for physical fitness were exercise participation and level of education, and variables affecting exercise participation were perceived self-efficacy, benefits, and past exercise behavior. Perceived self-efficacy of exercise was a significant predictor of exercise participation. Life-style, fatigue, and physical disability showed direct effects on perceived benefit, perceived barriers, and self-efficacy, and indirect effects on exercise behavior. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be soaked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved.

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A Study on the Factors Affecting Air Temperature on Roadside : Focusing on Road Conditions and Traffic Characteristics (도로 주변부 기온에 영향을 미치는 요인에 관한 연구: 도로조건과 교통특성을 중심으로)

  • Lee, Yuhwa;Yang, Inchul;Kim, Do-Gyeong;Lim, Ji Hyun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.4
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    • pp.1619-1629
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    • 2013
  • It turned out that there was a direct or an indirect relationship among global warming, urban heat island effects, urban and traffic environments, and public's health. In particular, unusual climate phenomena such as frequent heavy rainfall and scorching heat in a row that had rarely happened before have a negative effect on quality of life for people living in urban areas. This study focuses on the effects of roadway geometric design and traffic conditions on air temperature of roadside in Seoul Metropolitan Areas, controlling of roadway micro-climate environment. Five roadway segments containing different roadway and traffic conditions in terms of traffic median with trees, street trees, traffic volume and average travel speeds were surveyed. According to statistical results(t-test) from three roadway air temperature regression model estimations, air temperature is found to be different from one another in three periods-morning, afternoon and evening. Regarding roadway geometric design, air temperature of urban roads with vegetated median strips is lower about 1.3~2.2 degrees in celcius. Higher traffic volumes per lane and lower average travel speeds will tend to increase roadside air temperature, and efficient traffic operation policies can protect from increasing roadside air temperature in urban areas.

The Exposure Status and Biomarkers of Polycyclic Aromatic Hydrocarbons in Shipyard Workers

  • Koh, Sang-Baek;Park, Jun-Ho;Yun, Ju-Song;Lee, Kang-Myoung;Cha, Bong-Suk;Chang, Sei-Jin;Kim, Cheong-Sik;Kim, Heon;Chang, Soung-Hoon
    • Molecular & Cellular Toxicology
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    • v.2 no.2
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    • pp.134-140
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    • 2006
  • Because shipyard workers are involved with various manufacturing process in shipyard industry, and they are exposed to many kinds of hazardous materials. Especially, painting workers were exposed polycyclic aromatic hydrocarbons (PAH). This study was conducted to assess the exposure status of PAH based on job-exposure matrix. We investigated the effect of genetic polymorphism of xenobiotic metabolism enzymes involved in PAH metabolism on levels of urinary metabolite. A total of 93 shipbuilding workers were recruited in this study. Questionnaire variables were age, sex, use of personal protective equipment, smoking, drinking, and work duration. The urinary metabolite was collected in the afternoon and corrected by urinary creatinine concentration. The genotypes of CYP1A1, CYP2E1, GSTM1, GSTT1 and UGT1A6 were investigated by using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) methods with DNA extracted from venous blood. Urinary 1-OHP levels were significantly higher in direct exposured group (spray and touch-up) than indirect exposed group. Urinary 1-OHP, concentration of the high exposure with wild type of UGT1A6 was significantlyhigher than that of the high exposure with other UGT1A6 genotype. In multiple regression analysis of urinary 1-OHP, the regression coefficient of job grade was statistically significant (p<0.05) and UGT1A6 was not significant but a trend (p<0.1). The grade of exposure affected urinary PAH concentration was statistically significant. But genetic polymorphism of xenobiotics metabolism enzymes was not statistically significant. Further investigation of genetic polymorphism with large sample size is needed.

The Effects of Critical Thinking Disposition and Problem Solving Ability on the Work Performance Assessment of Dental Hygienists (치과위생사의 비판적 사고 성향과 문제 해결 능력이 직무 수행 능력에 미치는 영향)

  • Lee, Ji-Eun;Lee, Su-Young;Kim, Hyun-Jin
    • Journal of dental hygiene science
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    • v.17 no.4
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    • pp.275-282
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    • 2017
  • The purpose of this study was to improve work performance conducted at an actual clinical site by determining the relationship among critical thinking disposition, problem solving ability, and work performance. In this study, 335 dental hygienists completed self-administered survey. Final analysis was conducted with a total of 331 responses, excluding 4 questionnaire with unreliable responses and non-responses. The results indicated that as the age, educational background, and work experience of the subjects increased, their critical thinking disposition and problem solving ability scores increased and were statistically significant. For work performance, average total score was high for age, educational background and work experience, but only age and work experience were statistically significant. Critical thinking disposition, problem solving ability and work performance of the subject were relevant, and all of them were significant. Work performance was also influenced indirectly by mediating problem solving ability in critical thinking disposition. In other words, both direct and indirect effects were significant, and the existence of partial moderating effect was verified. Thus, in order to improve work performance of dental hygienists, a multilevel educational process that can simultaneously improve critical thinking disposition and problem solving ability of dental hygienists needs to be developed. Therefore, it is expected that the new dental hygiene company will be able to perform without any sense of disparity in the clinical field; this will solve the gap between dental hygiene education and practical skills.

Effectiveness of 70% Alcohol Solution and Hand Washing Methods on Removing Transient Skin Bacteria in Foodservice Operation (급식시설의 손 세척을 위한 70% 알콜 소독제 사용 및 세척방법의 적용효과 분석)

  • Gwak, Dong-Gyeong;Jang, Hye-Ja;Ryu, Gyeong;Kim, Seong-Hui
    • Journal of the Korean Dietetic Association
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    • v.4 no.2
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    • pp.235-244
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    • 1998
  • Hand washing is an important component of hygiene program for food handlers. Hands can be a source of direct or indirect contamination of foods with pathogenic microorganisms. In this study, the effectiveness of hand washing methods and the use of 70% alcohol solution against transient skin bacteria was tested in an university foodservice facility. 70% alcohol solution is sprayed for 5 seconds automatically when hands are placed in the dispenser. Samples were taken using swab technique in meat cutting area, vegetable trimming area, and vegetable cutting area: before and after washing hands according to planned methods, and after being sprayed with 70% alcohol solution after washing hands. The bacteriological analysis of total plate counts, coliform, fecal coliform of food handlers' hands was done. Statistical data analysis was completed with Mann-Whitney U test and Kruskal-Wallis model using the SPSS program. The levels of initial contamination of workers' hand were significantly different by the work areas($x^2$=9.156, p<0.01). Workers in the vegetable trimming area had more heavily soiled hands than in the other work areas. Mean of TPC counts and coliform was 8.97×$10^5$ CFU/12.4$cm^2$, 2.93×$10^2$ MPN/12.4$cm^2$ respectively, but fecal coliform was not detected. Transient bacteria were removed from hands after washing and using 70% alcohol solution but were not removed completely. Mean reduction percentage in TPC varied among work areas and ranged from 93.19% to 94.99%, and in coliforms from 97.31% to 100%. A significant difference in TPC was found between before and after hand disinfection (Z=-2.714, p<.01) and between standardized hand washing procedures and un-standardized hand washing procedures(z=-2.301, p<.01). Subjects using the hand sanitizer showed a great elimination of TPC(99.45% reduction), but this effect was valid only after following proper washing procedures. Based on the results, the most effective hand washing method was recommended as the combination of the standardized hand washing procedure with warm-water and use of the 70% alcohol solution. The results can be used to develop hand hygiene programs and training strategies for enhancing hand hygiene practices for food handlers in foodservice operations.

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Comparison of nutrition, anti-nutritional factors of rice straw and microbial composition in soil according to GM and non-GM rice field

  • Im, Seon yeong;Jeon, Young ji;Mun, Se young;Han, Kyu dong;Ahn, Tae young;Lee, Dong jin
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2017.06a
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    • pp.350-350
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    • 2017
  • The study was conducted to evaluate differences of growth characteristics of rice cultivated in two different regions (Cheonan and Jeonju). It focused on nutritional composition and anti-nutritional factors of rice straw produced from 21 rice varieties including GM rice (Iksan 483). The range of general nutrition ingredient is that crude was 0.97 ~ 3.2 %, carbohydrate was 67.45 ~ 80.01 %, crude protein was 1.46 ~ 4.81 %, crude ash was 6.52 ~ 18.96 %, crude fiber was 25.77 ~ 40.02 %, NDF was 51.84 ~ 67.77 %, ADF was 27.11 ~ 40.44 %, calcium was 0.49 ~ 5.18 mg/g and phosphorous was 0.26 ~ 2.77 mg/g. The general nutritional contents of GM rice were included above range. The range of phytic acid of rice straws cultivated in Cheonan and Jeonju was 0 ~ 0.056 mg/ml and 0 ~ 0.059 mg/ml, respectively. The phytic acid content of GM was 0.033 mg/ml, which was in the range of the content of rice straw in Cheonan and Jeonju. The range of trypsin inhibitor of rice straws cultivated in Cheonan and Jeonju was 0.061 ~ 0.461 TIU/mg and 0 ~ 1.278 TIU/mg, respectively. The trypsin acid content of GM was 0.461 TIU/mg, which was in the range of the content of rice straw in Cheonan and Jeonju. In addition, we investigated microbial community from each soil sample by using metagenomics sequencing based on rRNA microbial diversity in order to inspect indirect changes of soil environment with cultivation of GM rice. Metagenomics analysis was carried out using soil samples cultivated with GM and non-GM rice for before transplanting, young panicle differentiation stage, heading stage, and ripening stage. Beta diversity of microbial community in both soil environments were calculated by using Bray-Curtis distance method and showed low value with an average of 0.24 (dissimilarity = 1). As a result, it was confirmed that the cultivation of GM does not give a significant effect on the change of microbial composition in soil. Therefore, Our study demonstrates that there is no difference in the composition of soil microorganism due to GM and non-GM rice.

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Criterion Suggestion on Relative Disparity, Viewing Distance and Viewing Angle to Minimize 3D Visual Fatigue for Pattern-Retarded Type 3D Display (편광식 3D 디스플레이를 위한 상대적 시차, 시청 거리, 시청 방위에서의 시각피로 최소화 기준 제안)

  • Park, Jong-Jin;Kim, Shinwoo;Li, Hyung-Chul O.
    • Science of Emotion and Sensibility
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    • v.19 no.1
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    • pp.61-70
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    • 2016
  • 3D visual fatigue is known as one of the most important factors that interfere the commercial success of 3D contents. Vergence-accommodation conflict, which is known to occur when an observer watches an image containing binocular disparity presented on a 3D display, has been suggested as a major cause of 3D visual fatigue. This implies that any image incorporating binocular disparity might cause 3D visual fatigue. In order to reduce 3D visual fatigue, it would be necessary to consider indirect ways of reducing 3D visual fatigue as well as eliminating the direct causes of 3D visual fatigue. We have examined the effect of the variables that are expected to affect subjective 3D visual fatigue and these variables included the relative disparity contained in an image, viewing distance and viewing angle. We have also figured out the proper levels of the variables required to minimize 3D visual fatigue. The results indicate that observers began to report significant 3D visual fatigue when the crossed disparity contained in an image exceeded 7.22' and the vertical viewing angle was larger than 15 degree.

Health Care Utilization and Its Determinants among Island Inhabitants (도서지역주민의 의료이용양상과 그 결정요인)

  • Yu, Seung-Hum;Cho, Woo-Hyun;Park, Chong-Yon;Lee, Myung-Keun
    • Journal of Preventive Medicine and Public Health
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    • v.20 no.2 s.22
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    • pp.287-300
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    • 1987
  • Island regions suffer from a shortage of health care in part because they are less developed, they cover a widespread area relative to the population, and due to transportation barriers. The purpose of this study was to assess the level of illness and the magnitude of medical care utilization, and to investigate the determinants of utilization in these area. The data were collected by means of a household survey conducted from February 16 to 25, 1987 on S islands which were selected in consideration of the size of the population, the distance from the main land, and the distribution of health care facilities. The household response rate was 89.1% (491 of 551 households), and 1971 persons were surveyed. The major findings of this study are as follows: 1) The morbidity rate of the island inhabitants was 27.7% during the two weeks, and 25.5 chronic illnesses and 9.1 acute illnesses per 100 persons, were noted. Differences in the magnitude of illness were statistically significant by sex, age, education, and family size. 2) The magnitude of total ambulatory carl utilization was 16.8 visits per 100 persons during the two weeks, which was less than that of other regions; and differences in the magnitude of total ambulatory care were statistically significant by sex, age, education, occupation, and family size. 3) Unmet needs were classified as 56.0% in chronic illnesses and 19.6% in acute illnesses; and differences in unmet needs were statistically significant by sex, age, education, occupation, income, and family size. 4) Statistically significant determinants in medical care utilization included the frequency of acute illness and chronic illness, and income in total utilization; the frequency of chronic illness and acute illness, and medical care insurance in physician visits. 5) According to the results of the path analysis, need factors had the greatest effect on utilization, and predisposing factors had more indirect effects through enabling or need factors than direct effects.

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A Development of the Evaluation Index for UTIS Traffic Information Service (UTIS 교통정보 제공서비스 성과평가 인덱스 개발)

  • Kim, Eun-Jeong;Bae, Kwang-Soo;Ahn, Gye-Hyeong;Lee, Chul-Ki
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.9 no.6
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    • pp.13-21
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    • 2010
  • Road Traffic Authority and National Police Agency is currently managing the "development of an integrated metropolitan traffic information infrastructure" that installs of facilities for a traffic information infrastructures, such as Local Traffic Information Center, UTIS(Urban Traffic Information System), CCTV, VMS and etc. CTIC was established in 2005 to act as an traffic information hub and to provide integrated UTIS traffic information without regional barriers. This study was carried out to seek for solution to improve quality of UTIS traffic information service for the Central Traffic Information Center(CTIC). In this study, the Evaluation index for UTIS traffic information service was developed and the implementation plan was established by using requirement analysis method, case study and AHP(Analytic Hierarchy Process) technique. The Evaluation index consist of 5 fields and 20 index, it make possible evaluation of direct/indirect effect for UTIS traffic information service. In conclusion, It is expected that quality of UTIS traffic information service will be improved by using developed evaluation index and also can be applied for performance evaluation of other traffic information systems.

Location error analysis of a real time locating system in a multipath environment (다중경로 환경에서 실시간 위치추적 시스템의 위치 오차 분석)

  • Myong, Seung-Il;Mo, Sang-Hyun;Lee, Heyung-Sub;Park, Hyung-Rae;Seo, Dong-Sun
    • Journal of IKEEE
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    • v.14 no.1
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    • pp.25-32
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    • 2010
  • In this paper, we analyze the location accuracy of real-time locating systems (RTLS) in multipath environments, where the RTLS complies with an ISO/IEC 24730-2 international standard. RTLS readers should have an ability not only to recover the transmitted signal but also provide arrival timing information from the received signal. In the multipath environments, in general, the transmitted signal goes through both direct and indirect paths, and then it becomes some distorted form of the transmitted signal. Such multipath components have a critical effect on deciding the first arrival timing of the received signal. To analyze the location error of the RTLS in the multipath environments, we assume two multipath components without considering an additive white Gaussian noise. Through the simulation and real test results, we confirm that the location error does not occur when the time difference between two paths is more than 1.125Tc, but the location error of about 2.4m happens in case of less than 0.5Tc. In particular, we see that the resolvability of two different paths depends largely on the phase difference for the time difference of less than 1Tc.