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Grip Strength as a Predictor of Cerebrovascular Disease (뇌혈관질환의 예측인자로서의 악력)

  • Jung, Seok-Hwan;Kim, Jae-Hyun
    • Health Policy and Management
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    • v.29 no.3
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    • pp.303-311
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    • 2019
  • Background: Cerebrovascular disease is included in four major diseases and is a disease that has high rates of prevalence and mortality around the world. Moreover, it is a disease that requires a high cost for long-term hospitalization and treatment. This study aims to figure out the correlation between grip strength, which was presented as a simple, cost-effective, and relevant predictor of cerebrovascular disease, and cerebrovascular disease based on the results of a prior study. And furthermore, our study compared model suitability of the model to measuring grip strength and relative grip strength as a predictor of cerebrovascular disease to improve the quality of cerebrovascular disease's predictor. Methods: This study conducted an analysis based on the generalized linear mixed model using the data from the Korea Longitudinal Study of Ageing from 2006 to 2016. The research subjects consisted of 9,132 middle old age people aged 45 years or older at baseline with no missing information of education level, gender, marital status, residential region, type of national health insurance, self-related health, smoking status, alcohol use, and economic activity. The grip strength was calculated the average which measured 4 times (both hands twice), and the relative grip force was divided by the body mass index as a variable considering the anthropometric figure that affects the cerebrovascular disease and the grip strength. Cerebrovascular diseases, a dependent variable, were investigated based on experiences diagnosed by doctors. Results: An analysis of the association between grip strength and found that about 0.972 (odds ratio [OR], 0.972; 95% confidence interval [CI], 0.963-0.981) was the incidence of cerebral vascular disease as grip strength increased by one unit increase and the association between relative grip strength and cerebrovascular disease found that about 0.418 (OR, 0.418; 95% CI, 0.342-0.511) was the incidence of cerebral vascular disease as relative grip strength increased by unit. In addition, the model suitability of the model for each grip strength and relative grip strength was 11,193 and 11,156, which means relative grip strength is the better application to the predictor of cerebrovascular diseases, irrespective of other variables. Conclusion: The results of this study need to be carefully examined and validated in applying relative grip strength to improve the quality of predictors of cerebrovascular diseases affecting high mortality and prevalence.

Health and Economic Burden Attributable to Particulate Matter in South Korea: Considering Spatial Variation in Relative Risk (지역간 상대위험도 변동을 고려한 미세먼지 기인 질병부담 및 사회경제적 비용 추정 연구)

  • Byun, Garam;Choi, Yongsoo;Gil, Junsu;Cha, Junil;Lee, Meehye;Lee, Jong-Tae
    • Journal of Environmental Health Sciences
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    • v.47 no.5
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    • pp.486-495
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    • 2021
  • Background: Particulate matter (PM) is one of the leading causes of premature death worldwide. Previous studies in South Korea have applied a relative risk calculated from Western populations when estimating the disease burden attributable to PM. However, the relative risk of PM on health outcomes may not be the same across different countries or regions. Objectives: This study aimed to estimate the premature deaths and socioeconomic costs attributable to long-term exposure to PM in South Korea. We considered not only the difference in PM concentration between regions, but also the difference in relative risk. Methods: National monitoring data of PM concentrations was obtained, and missing values were imputed using the AERMOD model and linear regression model. As a surrogate for relative risk, hazard ratios (HRs) of PM for cardiovascular and respiratory mortality were estimated using the National Health Insurance Service-National Sample Cohort. The nation was divided into five areas (metropolitan, central, southern, south-eastern, and Gangwon-do Province regions). The number of PM attributable deaths in 2018 was calculated at the district level. The socioeconomic cost was derived by multiplying the number of deaths and the statistical value of life. Results: The average PM10 concentration for 2014~2018 was 45.2 ㎍/m3. The association between long-term exposure to PM10 and mortality was heterogeneous between areas. When applying area-specific HRs, 23,811 premature deaths from cardiovascular and respiratory disease in 2018 were attributable to PM10 (reference level 20 ㎍/m3). The corresponding socioeconomic cost was about 31 trillion won. These estimated values were higher than that when applying nationwide HRs. Conclusions: This study is the first research to estimate the premature mortality caused by long-term exposure to PM using relative risks derived from the national population. This study will help precisely identify the national and regional health burden attributed to PM and establish the priorities of air quality policy.

Forensic Analysis of HEIF Files on Android and Apple Devices (스마트폰에서 촬영된 HEIF 파일 특징 분석에 관한 연구)

  • Kwon, Youngjin;Bang, Sumin;Han, Jaehyeok;Lee, Sangjin
    • KIPS Transactions on Software and Data Engineering
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    • v.10 no.10
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    • pp.421-428
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    • 2021
  • The High Efficiency Image File Format (HEIF) is an MPEG-developed image format that utilizes the video codec H.265 to store still screens in a single image format. The iPhone has been using HEIF since 2017, and Android devices such as the Galaxy S10 have also supported the format since 2019. The format can provide images with good compression rates, but it has a complex internal structure and lacks significant compatibility between devices and software, making it not popular to replace commonly used JPEG (or JPG) files. However, despite the fact that many devices are already using HEIF, digital forensics research regarding it is lacking. This means that we can be exposed to the risk of missing potential evidence due to insufficient understanding of the information contained inside the file during digital forensics investigations. Therefore, in this paper, we analyze the HEIF formatted photo file taken on the iPhone and the motion photo file taken on the Galaxy to find out the information and features contained inside the file. We also investigate whether or not the software we tested support HEIF and present the requirement of forensic tools to analyze HEIF.

A Study on the Effect of Internal and External Control on the Relational Aggression's Perception of the Elderly in Care Facilities (내·외 통제성이 시설거주 노인의 관계적 공격성 인식에 미치는 영향에 관한 연구)

  • Kim, Hee-Jung;Cho, Moo-Sin;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.11 no.1
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    • pp.1-10
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    • 2021
  • Objective : This study is to know how the internal and external control of the elderly in care facilities affect the relational aggression's perception. Methods : I analyzed the internal and external control and the relational aggression's perception through a survey of the elderly in care facilities. For data collection, 148 of 165 questionnaires, excluding 17 questionnaires with missing questionnaire and middle-level abandonment, were used for the final analysis. Independent variables were the internal and external control, dependent variables were the relational aggression of negative and bullying behaviors, and controlled variables were general sociological characteristics of the elderly. Results : The results were as follows: First, there was a significant difference internal and external control depending on the length of a care facility. Second, there were significant differences in the recognition of relational aggression depending on the level of education, the period of admission, the presence of spouses, and the level of economy. Third, there was a significant difference in comparison of relational aggression perceptions according to internal and external control. Fourth, internal and external control affected the recognition of relational aggression. Conclusion : According to the demographic characteristics, there was a difference in the internal and external control and relational aggression perception of the elderly living in the facilities, and the internal and external control affected the level of relational aggression perception of the elderly in the facilities.

Effect of Online Food Service Franchise Experiences on Satisfaction and Revisit Intention: Application of ANN Analysis (외식프랜차이즈의 서비스 경험이 만족과 재방문의도에 미치는 영향: 인공신경망 분석의 적용)

  • LEE, Shin-Hwa;AHN, Sung-Man;LEE, You-Jung
    • The Korean Journal of Franchise Management
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    • v.10 no.2
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    • pp.59-70
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    • 2019
  • Purpose - Every company studies how to attract and retain new customers to increase competitiveness and profitability. Companies establish strategies to attract customers, secure competitive advantage and generate revenue. Businesses are looking for newer and better ways to differentiate themselves in the marketplace. One of the requirements for service differentiation is to make it a prerequisite for an engaging customer experience. Customer experience can be attained through service experience. Satisfaction determine whether to reuse the food service franchise. The purpose of this study is to investigate the effect of customer experience on the satisfaction and revisit intention of food service franchise. In this study, customer experience consists of three attributes such as service environment, food quality, and price fairness. Also, this study is to identify the importance of three service experience attributes of customer satisfaction and revisit intention using ANN (artificial neural network) analysis. Research design, data, methodology - The survey was conducted on customers who have visited franchise restaurants in one month in order to examine how service environment, food quality, and price fairness have been influenced customer satisfaction and revisit intention through online survey company (SM culture & contents). A total of 300 representative surveys were collected. Of those collected surveys, 26 were not used due to missing information, resulting in 274 as the final sample size. The sample size was more than 10 times more than the number of variables used in the structural model analysis. Results - The findings of this study are as follows: Service environment and price fairness have a significant effect on satisfaction. However, food quality did not have a significant effect on satisfaction. Finally, it was found that satisfaction had a significant effect on revisit intention. Meanwhile, according to the results of ANN analysis, satisfaction as a dependent variable was found to be the most important in male price fairness and service environment in female. Also, when the revisit intention is used as a dependent variable, both male and female price fairness are important. Also, when the intention to revisit is used as a dependent variable, both male and female price processes are important. Conclusions - First, a restaurant franchise enterprise needs to manage customer service experience. Customers should strive to eat and enjoy at a dining franchise store. Second, it is necessary to design a food service franchise shop as a customer-oriented service environment. Franchise companies need to improve the environment so that customers can use the store conveniently. Third, the restaurant franchise menu price needs to be cheaper than the alternative menu. The restaurant franchise menu needs to be constructed with a popular menu that can be used continuously by the customer, so that it can be set at a reasonable price.

rences in the Impact of Social Capital on Well-being between Korean Liberation Generation and Baby-boom Generation (해방세대와 베이비붐세대 간 사회적 자본이 안녕감에 미치는 영향의 차이)

  • Park, Seoung-Tag
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.755-765
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    • 2021
  • The objectives of this study are to subdivide the group of elderly population into the liberation generation as a poor generation that experienced the barley hump, and the baby boom generation to verify differences in the mean of social capital and well-being between those groups of two generations, to verify the effects of social capital on the well-being, and then to review differences between those groups of two generations regarding the effects of subfactors of social capital on the well-being. This study collected and analyzed data from 200 people excluding missing values from the baby boom generation and liberation generation born in 1945-1963, in the D region from July 1st to July 31st, 2018. The main results of this study are as follows. in the results of comparatively reviewing the social capital having effects on the well-being of each group of liberation generation and baby boom generation, when relieving the statistical significance level to 90%, the network was working as a variable having effects on both groups. In this case, when mutually comparing the influence of regression coefficient as �� value, the network had a relatively larger effect on the well-being of the liberation generation.

The Longitudinal study on the Impact of Innovative Organizational Culture on Organizational Commitment (제조업 기업의 혁신적 조직문화가 조직몰입에 미치는 영향에 관한 종단 분석)

  • Song, Seung-Ik;Kim, Jeong-Hwan;Mo, Youngmin
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.383-396
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    • 2022
  • The purpose of this study was to investigate the effect of worker's innovative organizational culture on organizational commitment in companies. The research data were used from the fourth year (2011) to the seventh year (2017) of the HCCP (Human Capital Corporate Panel), and 207 companies were subject to the final analysis except for missing values. To statistically validate the research model, we utilize the SPSS 26.0 and AMOS 21.0 programs to perform Latent Growth Modeling analysis. The results of the study are as follows. First, both the innovative organizational culture and organizational commitment of companies have been shown to continue to decline over time. Second, the initial value of innovative organizational culture has been shown to have a significant impact on the initial value of organizational commitment. On the other hand, the initial value of innovative organizational culture has no significant effect on the rate of change in organizational commitment. Third, the rate of change in innovative organizational culture has been shown to have a significant impact on the rate of change in organizational commitment. Based on these findings, we present practical measures to enhance the importance of innovative organizational culture along with its implications.

Association of Suicidal Ideation With Dental Pain among Korean Adolescents (한국 청소년에서 치통과 자살 생각의 연관성)

  • Baek, Ju Won;Lee, Kuy Haeng;Yang, Chan-Mo
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.46-53
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    • 2022
  • Objectives : This study aimed to assess the possible association of dental pain with suicidal ideation among adolescents by analysing data from the 2018 Korean Youth Risk Behavior Survey, a nationwide online survey. Methods : Of 62,823 adolescent middle and high school students in Korea, 60,040 participants were selected for analysis, after excluding cases with missing values. Participants were given a questionnaire about their self-evaluation of health including dental pain and suicidal ideation. Logistic regression analysis demonstrated the relationships between dental pain and suicidal ideation after controlling for potential confounding factors. Results : The proportion of Korean adolescents reporting suicidal ideation was 13.3%. The proportion of adolescents who experienced dental pain was 23.4%. Compared to adolescents who did not report dental pain, adolescents who reported experiencing dental pain were significantly more likely to experience suicidal ideation (OR=1.94, p<0.001). In two multivariate models, the relationships between dental pain and suicidal ideation (AOR=1.24, p<0.001) were statistically significant. Conclusions : Dental pain was associated with increased risk of suicidal ideation among Korean adolescents, even when controlling for sociodemographic factors and other health conditions. It is necessary to consider screening adolescent patients who present with dental pain for suicidal ideation.

A Study on the Priority Affecting the Succession of the Family Firm Using AHP (후계자 관점에서 가업승계에 영향을 미치는 요인들의 중요도에 대한 AHP분석 연구)

  • Cho, Namjae;Lee, YunSeok;Kim, Ji-Hee;Yu, Giseob
    • Korean small business review
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    • v.43 no.1
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    • pp.147-164
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    • 2021
  • This study focuses on succession in a family business which is the crucial factor affecting future and survival of a family business. Especially, the study concentrate a successor's view which is regarded as a key-player during the succession. In this study, we used AHP (Analytic Hierarchy Process) methodology to identify priorities of factors influencing succession. We divided into two-tier level. The first-tier is defined as 1) the relationship with an incumbent CEO, 2) a successor 's management ability, 3) a successor' s self-efficacy and 4) succession plan. For the second-tier of each first-tier have 3 sub-factors ; 1) the relationship with an incumbent CEO is set as level of mutual trust, sharing the vision of a company, and level of communication each other. 2) A successor 's management ability is based on business competence, education and training and interpersonal management ability, 3) a successor 's self-efficacy was set as successor' s willingness of succession, confidence of overcoming crisis and confidence of achieving objectives. Lastly, 4) a succession plan is set as finance plan, leadership transformation plan and human-organization management plan. A total of 93 questionnaires is distributed and retrieved, and 88 questionnaires are used for the study, excluding those with missing data. As a result of this study, successors selected 1) the relationship with an incumbent C.E.O. as the most important priority in the first-tier. The second is 2) a successor 's management ability, the third is 3) a successor' s self-efficacy, and the last priority is 4) a succession plan. In particular, 3 sub-factors that make up the relationship with an incumbent are the most important factors. These factors rank the first to the third in the final result.

The Effects of College Students' Satisfaction with Their Healthcare-Related Major on Their Career Decision-Making Level - With a Focus on the Mediating Effect of Students' Satisfaction with Clinical Practice - (보건계열전공 대학생의 전공만족도가 진로결정수준에 미치는 영향 - 임상실습만족도의 매개효과를 중심으로 -)

  • Ju, Eun-Sol;Bang, Yo-Soon;Oh, Eun-Ju
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.6
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    • pp.243-250
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    • 2020
  • The purpose of this study was to investigate the effects of the satisfaction of college students majoring in healthcare-related fields with their major and with their clinical practice on their career decision-making level and to investigate the mediating effect of their satisfaction with clinical practice on the relationship between their satisfaction with their major and their career decision-making level. The subjects were 180 college students who had completed clinical practice as part of their healthcare-related majors at C University in A-gun, B-do Province. Their completed questionnaires were collected between March 2 and March 5, 2020; 165 questionnaires were used for the data analysis. Questionnaires with missing or insincere responses were excluded. According to the results of this study, the students showed a mean of 3.99 points in their satisfaction with their major, 3.33 points in their career decision-making level, and 3.71 points in their satisfaction with clinical practice. Statistically significant positive correlations were found between the students' satisfaction with their major, their career decision-making level, and their satisfaction with clinical practice. In addition, their satisfaction with clinical practice produced a partial mediating effect on the relationship between their satisfaction with their major and their career decision-making level, and those with a higher level of satisfaction with their major and with their clinical practice also presented higher career decision-making levels. Therefore, the present study suggests that healthcare-related students' satisfaction with their major and with clinical practice should be enhanced to increase their career decision-making levels.