• Title/Summary/Keyword: Individual Risk Model

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The Effects of Non-pharmacological Interventions on Sleep among Older Adults in Korean Long-term Care Facilities: A Systematic Review and Meta-analysis

  • Jung, Sun Ok;Kim, Hyeyoung;Choi, Eunju
    • Research in Community and Public Health Nursing
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    • v.33 no.3
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    • pp.340-355
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    • 2022
  • Purpose: This study aimed to examine the effects of non-pharmacological sleep intervention programs in improving sleep quality among older adults in long-term care facilities. Methods: A literature search and selection was performed on nine different databases using the guidelines of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Overall, 14 studies met the inclusion criteria and were systematically reviewed. For the meta-analysis, the effect size was estimated using the random-effects model in Review Manager (RevMan) desktop version 5.4 of the Cochrane Library. Results: The meta-analysis of overall non-pharmacological interventions obtained a total effect size of 1.0 (standardized mean difference [SMD]=1.0, 95% confidence interval [CI]: 0.64~1.35), which was statistically significant (Z=5.55, p<.001). The most frequently studied non-pharmacological intervention was aroma therapy, with an effect size of 0.61 (SMD=0.61, 95% CI: 0.14~1.08), which was statistically significant (Z=2.55, p=.010). In the subgroup analysis, group-based interventions, interventions for >4 weeks, and untreated control studies were more effective. Conclusion: This study confirms that non-pharmacological interventions are effective in improving sleep quality among older adults in long-term care facilities. However, the sample size was small and the risk of bias in assessing the interventions of individual studies was unclear or high, thereby limiting the generalizability of the results. Further reviews that evaluate randomized control trials, evidence-based interventions that consider older adult participants' physical activity levels, different intervention methods and durations, and different control group intervention types are needed to obtain more conclusive evidence.

A Study on the Privacy Paradox in the IoT-based Smart Home Camera Usage Environment: Focusing on a Comparative Study of User Experience (IoT 기반 스마트 홈카메라 이용환경에서의 프라이버시 패러독스 현상에 관한 연구: 사용경험 비교연구를 중심으로)

  • Lyu, JinDan;Kwon, Sundong
    • Journal of Information Technology Applications and Management
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    • v.28 no.6
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    • pp.145-161
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    • 2021
  • Recently, as personal information utilization devices such as IoT, artificial intelligence, and wearable devices that focus on the individual have spread, privacy violations are also increasing. However, the privacy paradox of providing personal information to enjoy services while worrying is getting stronger. However, there are still preliminary studies on this. In this study, an intelligent home camera based on IoT technology was selected as a research object, and whether privacy paradox exists in the IoT environment, including smart home camera, was studied. To this end, the effect of perceived usefulness, a benefit factor of smart home camera use, and privacy concern, a risk factor, on intention to use was verified. In addition, it was investigated whether the relationship between privacy concerns and intention to use differs according to the presence or absence of use experience. In order to verify the research model, a survey was conducted with people with and without experience in using smart home cameras, and a total of 298 data samples were used for statistical analysis. As a result of the analysis, it was found that both perceived usefulness and privacy concerns had a positive effect on the intention to use, proving that privacy paradox exists in the IoT-based smart home camera environment. In addition, by analyzing the fact that privacy concerns have different effects on usage intentions depending on the user experience, it was verified that those with experience have a strong privacy paradox and those without experience have a weak privacy paradox. This study is meaningful because it seeks strategic implications to improve service and business performance by understanding the relationship between privacy attitudes and behaviors of IoT service providers, including smart home cameras.

Vaccination Status and In-hospital Mortality Among Adults With COVID-19 in Jakarta, Indonesia: A Retrospective Hospital-based Cohort Study

  • Hotma Martogi Lorensi Hutapea;Pandji Wibawa Dhewantara;Anton Suryatma;Raras Anasi;Harimat Hendarwan;Mondastri Korib Sudaryo;Dwi Gayatri
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.6
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    • pp.542-551
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    • 2023
  • Objectives: Prospective studies on vaccination status and mortality related to coronavirus disease 2019 (COVID-19) in low-resource settings are still limited. We assessed the association between vaccination status (full, partial, or none) and in-hospital mortality among COVID-19 patients at most hospitals in Jakarta, Indonesia during the Delta predomination wave. Methods: We conducted a retrospective cohort study among hospitalized COVID-19 patients who met the study criteria (>18 years old and admitted for inpatient treatment because of laboratory-confirmed severe acute respiratory syndrome coronavirus 2 infection). We linked individual-level data in the hospital admission database with vaccination records. Several socio-demographic and clinical characteristics were also analyzed. A Cox proportional hazards regression model was used to explore the association between vaccination status and in-hospital mortality in this patient group. Results: In total, 40 827 patients were included in this study. Of these, 70% were unvaccinated (n=28 543) and 19.3% (n=7882) died during hospitalization. The mean age of the patients was 49 years (range, 35-59), 53.2% were female, 22.0% had hypertension, and 14.2% were treated in the intensive care unit, and the median hospital length of stay across the group was 9 days. Our study showed that the risk of in-hospital mortality among fully and partially vaccinated patients was lower than among unvaccinated adults (adjusted hazard ratio [aHR], 0.43; 95% confidence interval [CI], 0.40 to 0.47 and aHR, 0.70; 95% CI, 0.64 to 0.77, respectively). Conclusions: Vaccinated patients had fewer severe outcomes among hospitalized adults during the Delta wave in Jakarta. These features should be carefully considered by healthcare professionals in treating adults within this patient group.

Effects of Conflict Management Strategy Within Supply Chain on Partnership and Performance (공급망 내 갈등관리전략이 파트너십과 성과에 미치는 영향)

  • Ham, Yoon-Hee;Song, Sang-Hwa
    • Korean small business review
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    • v.42 no.1
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    • pp.79-105
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    • 2020
  • While individual enterprises with different objectives each other within supply chains require a variety of resources to achieve their own seeking goals and performances, it is necessary to form interdependent relationships among the enterprises to secure the resources what they need, as the individual enterprises are supposed to have limitations on such as time, space and cost to secure all the resources. In this process, conflict possibilities rise and opportunistic behaviors increase due to those environmental factors such as unbalanced information among enterprises, limited rationality, pursuit of interests, and risk aversion. Those existing studies on conflicts in the field of supply chains have limitations in that they failed to present specific conflict management strategies based on the conflict types from the perspective of the conflict resolution mechanism as the studies have made only focused on investigating the causes of conflicts and the impact of conflicts on performance. In this study, therefore, it used the TKI model of Kilmann and Thomas(1977) to subdivide the conflict management strategies in the process of transactions within supply chains by enterprises, and looked into the impact on partnership and performance according to each strategy. As the results, it showed that those types of conflict management strategies such as concession type and cooperation type had a positive(+) impact on the relationship commitment as a factor of partnership, and it was identified that the relationship commitment had a positive(+) impact on performance. In other words, it can be considered that the enterprises making use of the concession type & the cooperation type conflict management strategies under the situation of conflict would be able to have a very positive impact on their performances if they can make good relationship commitment such as investments in and efforts for the sustainable relationship along with the conflict management, while recognizing the importance of relationship. The most important meaning of this study lies on in terms of that it would be contributable to strengthening the partnership between enterprises and minimizing the risk of supply chains caused by conflicts through these results from the study.

The Effects of the Intention Promotion Program on the Diet of Workers with Hyperlipemia based on the Theory of planned Behavior (식이이행 의도증진을 위한 중재가 고지혈증 근로자의 식이이행 의도 및 식이이행도에 미치는 영향)

  • Hyun, Hye-Jin;Park, Yeon-Hwan
    • Korean Journal of Occupational Health Nursing
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    • v.9 no.1
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    • pp.39-48
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    • 2000
  • Hyperlipemia is the most leading risk factor of cardiovascular disease which is the main cause of death in Korea. However, there is a tendency to neglect the prevention and treatment since it has no specific symptoms. It has been reported that the level of serum-lipid can be lowered by the improvement of eating habits. Therefore, it is highly likely that the development of programs on the improvement of eating habits through behavioral theory is required to the community nursing practice. The theory of planned behavior, which assumes that human behaviors are determined by one's intention to carry out the behavior, can be characterized by the point that behaviors are not only individual factors but also social behaviors relating to subjective norms. It is widely recognized that this theory has a high predictability on health behavior due to it's simplicity clearness, and measurability as well as high quality of being general. Thus, the theory of planned behavior could be useful in developing a model of a health promotion program to the change of behaviors of the risk group of cardiovascular disease. Consequently, based on the theory of planned behavior, the purpose of this study is to develop an intention promotion program of the diet, and then to testify the effects. The sample of this study consisted of 26 industrial workers who had proved hyperlipemia from a medical examination in 1996 (experimental group 13, control group 13). The intention promotion program, which includes education, monitoring, pressure, counselling on the level of individuals, families and organizations, was conducted for 10 weeks The purpose of this program was to promoting intention of the diet through changes of the prerequisite factors of intention such as behavioral belief, outcome evaluation, normative belief and control belief. When it came to data analysis, the ${\chi}^2$-test and Fisher's Exact test were used to compare the general characteristics between the experimental and the control group, an independent t-test for the other variables. ANOVA was used to the test hypothesis, and the Pearson correlation test for variable's correlation. The results of this study can be summarized as follows ; 1) There was a significant increase in the intention(F=18.51, p=.00) of diet in the experimental group. 2) Diets(F=32.51, p=.001) in the experimental group were better carried out than in the control group. 5) There was a moderate correlation between the intention of diet and performance (r=.587. p=.003). From the results, it can be concluded that the intention promotion program is very effective, leading to the change of health promotion behavior. Above all, it is really valuable that the intention promotion program in this study regards health promotion behavior as a social behavior and that intervention was done on the level of family and organization. Consequently, when performing a health promotion program, social approach elevating the intention should go hand in hand in order to make the program effective.

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De-identifying Unstructured Medical Text and Attribute-based Utility Measurement (의료 비정형 텍스트 비식별화 및 속성기반 유용도 측정 기법)

  • Ro, Gun;Chun, Jonghoon
    • The Journal of Society for e-Business Studies
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    • v.24 no.1
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    • pp.121-137
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    • 2019
  • De-identification is a method by which the remaining information can not be referred to a specific individual by removing the personal information from the data set. As a result, de-identification can lower the exposure risk of personal information that may occur in the process of collecting, processing, storing and distributing information. Although there have been many studies in de-identification algorithms, protection models, and etc., most of them are limited to structured data, and there are relatively few considerations on de-identification of unstructured data. Especially, in the medical field where the unstructured text is frequently used, many people simply remove all personally identifiable information in order to lower the exposure risk of personal information, while admitting the fact that the data utility is lowered accordingly. This study proposes a new method to perform de-identification by applying the k-anonymity protection model targeting unstructured text in the medical field in which de-identification is mandatory because privacy protection issues are more critical in comparison to other fields. Also, the goal of this study is to propose a new utility metric so that people can comprehend de-identified data set utility intuitively. Therefore, if the result of this research is applied to various industrial fields where unstructured text is used, we expect that we can increase the utility of the unstructured text which contains personal information.

Analyzing on the Fluctuation Characteristics of Management Condition of Construction Company (건설업체 경영상태 변동에 대한 특성 분석)

  • Jang, Ho-Myun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.2
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    • pp.1118-1125
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    • 2014
  • The past IMF foreign exchange crisis and subprime financial crisis had a big influence on variability of macroeconomics, even if the origin of its occurrence might be different. This not only had a significant infrequence on the overall industries, but also produced many insolvent companies by being closely linked with a management environment of an individual construction company leading the construction industry. The purpose of this research is to investigate characteristics of management condition of construction company according to the size of construction company using KMV model developed on the basis of the Black & Scholes option pricing theory. This research has set 28 construction companies listed to KOSPI/KOSDAQ for applying the KMV model and measuring the level of the default risk of construction companies. The data was retrieved from TS2000 established by Korea Listed Companies Association (KLCA), Statistics Korea. The analysis period is between first quarter of 2004 and fourth quarter of 2010. This research examine characteristics of the level and fluctuation process of the management condition of construction company according to the size of construction company.

Patterns of the Change and the Predictors of the Social Exclusion of the Older People: Analysis of English Longitudinal Study of Ageing(ELSA) (노인의 사회적 배제 수준의 변화유형과 예측요인: 영국고령화패널(ELSA)분석)

  • Park, Hyunju;Chung, Soondool
    • 한국노년학
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    • v.32 no.4
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    • pp.1063-1086
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    • 2012
  • The purpose of this study is to understand the current state of the older people's social exclusion by identifying patterns of the change in social exclusion level through a longitudinal analysis with an aim of exploring the predictors of changes. To this end, this study has adopted the panel data, the English longitudinal Study of Ageing(ELSA). The data of 7631 respondents who aged over 50 were used for the final analysis. The social exclusion of the older people was analyzed into five different sub-dimensions: social relationship; cultural activities; access to health services; financial security; and sense of loneliness. The person-centered approach that focuses on the various patterns of the trajectories of change has used semi-parametric group based model in order to estimate different trajectories among individuals. The data was analyzed using Spss 18.0 and SAS 9.2 proc traj. In results, First, semi-parametric group-based model analysis has shown that the older people are not 'homogeneous' group with similar exclusion level in every individual with same trajectories of change, but can be divided into various categories with diverse intercept and slope. Second, different trajectories in change of exclusion level help to confirm that the older people's social exclusion level increases gradually over time or remains unchanged. Third, this analysis has provided the useful guidelines to identify the high-risk groups of social exclusion. Forth, the variables that make difference in more than three dimensions include gender, age, self-perceived health, physical activity, weekly income, marital status, family relation, and beneficiary status. Implications and further suggestion were discussed.

An Empirical Study on the Effects of Personal Characteristics and Drama Characteristics on Entrepreneurial Intention : Focusing on the Moderating Effect of Social Support (개인 특성과 드라마 특성이 창업의지에 미치는 영향에 관한 실증 연구 : 사회적 지지의 조절효과 중심으로)

  • Chang, Soo-jin
    • Journal of Venture Innovation
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    • v.5 no.4
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    • pp.135-156
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    • 2022
  • This study attempted to identify the factors affecting entrepreneurial intention and to confirm the moderating effect of social support that plays a positive role in increasing entrepreneurial intention. The subjects of the study were 419 ordinary people, and data were obtained online and analyzed. The analysis method of this study was based on the SPSS statistical program Ver. 24, and a hierarchical regression analysis method was conducted to analyze the moderating effect. The results of hypothesis verification analysis in this study are as follows. First, innovativeness, risk-taking, self-fulfillment, economic motivation, immersion in a drama, drama role model, and indirect experience, all had a significant positive(+) effect on entrepreneurial intention. Second, among the factors affecting entrepreneurial intention, self-fulfillment was found to have the greatest influence. Third, it was confirmed that the moderating effect of social support between various variables and entrepreneurial intention had a significant effect on innovativeness, self-fulfillment, drama role model, and indirect experience, and entrepreneurial intention. The academic value of this study is to confirm the effect of drama characteristic variables on entrepreneurial intention. In addition, it was possible to confirm the moderating effect of social support, which is the total of individual external support. The implication of this study is that the desire for achievement had the greatest influence on entrepreneurial intention. Therefore, it is necessary to develop a desire to achieve in start-up support policies and start-up education. In addition, in light of the ripple effect of TV dramas, drama role model and indirect experience increase entrepreneurial intention, so it was possible to predict its influence on changes in perception of start-ups and entrepreneurs.

Development and Evaluation of a Community Staged Education Program for the Cardiocerebrovascular Disease High-risk Patients (심뇌혈관질환 고위험군을 위한 지역사회 단계별 교육프로그램 개발 및 효과 평가)

  • Lee, Hye-Jin;Lee, Jung-Jeung;Hwang, Tae-Yoon;Kam, Sin
    • Journal of agricultural medicine and community health
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    • v.37 no.3
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    • pp.167-180
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    • 2012
  • Objective: This study was conducted to evaluate an education program for cardiocerebrovascular high-risk patients. Methods: This program was developed according to Tyler's model for curriculum development. To evaluate the effects of this program, we measured clinical outcome change (weight, waist circumference, systolic blood pressure, diastolic blood pressure) and behavior change stages (checking blood pressure, blood sugar levels, doing physical activity, consistent maintenance of food intake, eating low amounts of salt, abstention from tobacco and alcohol) before and 4 weeks after participation in the education program. The group of subjects consisted of High-risk group patients who attended basic program(32 patients), and staged program(37 patients) during KHyDDI meetings from Oct. 2009 to May 2010. Results: The staged educational program was developed three aspects(disease, nutrition and exercise)and three stages(basic, in-depth and individual education). In the staged education program, the evaluations were made by measuring clinical outcome and stage of behavior before and after education. Significant differences were found in waist circumference, systolic blood pressure, diastolic blood pressure, consistent maintenance of food intake(p<0.05), and eating low salt(p<0.001)and their self efficacy. Conclusion: In the practice-oriented staged education program, significant differences were found in the clinical outcomes and stage of behavior before and after education. Possible limitations of the study include the small number of participating subjects and the short follow-up management period, but the results indicate that continued application of this program could contribute to the prevention of cardiocerebrovascular diseases for the elderly patients with long periods of chronic diseases.