• Journal of Service Research and Studies
• /
• v.7 no.4
• /
• pp.83-107
• /
• 2017

The purpose of this study is to suggest a customized servant leadership by exploring the effects of stewardship and community building factors on the subordinates' trust in leader of lower hierarchy and their job engagement. Regression analysis showed that stewardship is higher than community building in terms of its influence on job engagement, while community building outstrips stewardship in terms of trust in leader. Specifically, two items of stewardship factor - valuing the opinions of the subordinates in decision-making, and sacrificing without giving priority to the leader's self-interest - influenced the subordinates' trust in their leader. Of the items in community building, cooperating rather than competition, abiding by the principles in performing the work, the leader's not seeking recognition or compensation, and giving the subordinates the necessary authority to perform their work put impacts on the subordinates' trust in the leader, as well. As for job engagement, helping subordinates grow and develop, and, if necessary, taking the risk of challenging the job have a significant impact. Among the items of community building, it was found that the leader's not seeking recognition or compensation, and keeping the principles strictly in performing her duties promote job engagement. Based on these results, we propose to managers of human resources department the selection and training of tailored talents to meet the environmental characteristics of each organization, while avoiding programs for hiring and training personnel equipped with the uniform qualities of servant leadership.

• Journal of Chest Surgery
• /
• v.32 no.1
• /
• pp.32-37
• /
• 1999

Background: Early detection and surgical resection offer the most advantage out of all cures for lung cancer. Elderly patients may fail to benefit maximally from these interventions because of their general condition and residual lung function. To study the impact of age on stages, histology, symptoms, and treatments of the patients with non-small cell lung cancer, we undertook a retrospective review. Material and Method : Two hundred eleven patients with non-small cell lung cancer were operated on at Samsung Seoul hospital between October 1994 and June 1997. Patients were arbitrarily arbitrarily by age less than 70 years(176 patients) and 70 years or more(35 patients), and their medical records were reviewed. Result: There were no differences in pathologic staging and diagnosis. But there were differences in surgical methods, complications, and mortality rates between the two groups. There were much more complications in the 70 years or more group(p=0.02). We chose less invasive surgical methods in the 70 years or more group. Conclusion: More complications were experienced in the 70 years or more group. Although thoracic operation imparts the greatest survival advantage, this benefit is diminished in elderly patients because of their high complications and mortality rate. We recommend serious consideration of surgical indications and operative methods.

• The Journal of the Korea Contents Association
• /
• v.15 no.5
• /
• pp.639-650
• /
• 2015

The purpose of this study was firstly, to explore the acceptability and acceptance intention of parents for smart animal toys and secondly, investigate whether there is a difference by sex and age. For this purpose, the questionnaire survey was conducted with 344 parents of younger children in Seoul and Gyeonggi Province. As a result, there were significant positive correlations among the relative advantage, aesthetics, social image of smart animal toys, the attitude of the new technology and the parents' acceptability. Whereas there were significant negative correlations among the acceptance risk and the parents' acceptability. The parents' acceptability showed differences in the relative advantages and social image according to the age of the parents and no significant difference according to purchasing experience of smart animal toys. These results indicated that the parents' acceptability and acceptance intention of smart animal toys were similar with the adoption process of innovative products or smart devices. And it was also informed that the most impact factors on parents' acceptance for smart toy were the relative advantage, social image, and the attitude of the new technology. This research will be useful in understanding parents purchasing intention of smart toys and provide valuable implication for smart toy companies, manufacturers, and developers.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.37 no.4
• /
• pp.729-738
• /
• 2017

With the signing of the Paris Agreement, which is the new climate change agreement at the end of 2015, it will have a great impact on Korea environmental policy. The construction industry, which accounts for 42% of Korea's total $CO_2$ emissions, has been implementing various policies to improve the environmental problems. However, it is only applying passively to other projects except eco-friendly building certification. This is because most of the eco-related systems are based on building facilities. Therefore, there is a need for a new eco - friendly design evaluation model that can be widely applied not only to architecture but also to civil engineering facilities. In this study, a new model is developed based on the existing VE model, which adds new factors to evaluate the environmental friendliness, potential environmental pollution concept and environmental risk of facilities. This model is an eco-friendly design evaluation model that enables decision makers to effectively select alternative environmental criteria at the design stage. As a result of the case analysis of the block retaining wall and the alternative retaining wall, the value of the eco - friendly value of the alternative was 1.026 times higher than the original one. If this model is used at the design stage, it is expected to contribute not only to the construction of environmentally friendly facilities but also to the reduction of carbon emissions.

• Journal of Environmental Health Sciences
• /
• v.45 no.6
• /
• pp.668-674
• /
• 2019

Objectives: Modern people spend most of their day indoors. As the health impact of radon becomes an issue, public interest also has been growing. The primary route of potential human exposure to radon is inhalation. Long-term exposure to high levels of radon increases the risk of developing lung cancer. Radon exposure is known to be the second-leading cause of lung cancer, following tobacco smoke. This study measures the indoor radon concentrations in detached houses in area A of Chungcheongbuk-do Province considering the construction year, cracks in the houses, the location of installed detectors, and seasonal effects. Methods: The survey was conducted from September 2017 to April 2018 on 1,872 private households located in selected areas in northern Chungcheongbuk-do Province to figure out the year of building construction and the location of detector installed and identify the factors which affect radon concentrations in the air within the building. Radon was measured using a manual alpha track detector (Raduet, Hungary) with a sampling period of longer than 90 days. Results: Indoor radon concentrations in winter within area A was surveyed to be 168.3±193.3 Bq/㎥. There was more than a 2.3 times difference between buildings built before 1979 and those built after 2010. The concentration reached 195.4±221.9 Bq/㎥ for buildings with fractures and 167.2±192.4 Bq/㎥ for buildings without fractures. It was found that detectors installed in household areas with windows exhibited a lower concentration than those installed in concealed spaces. Conclusion: High concentrations of indoor radon were shown when there was a crack in the house. Also, ventilation seems to significantly affect radon concentrations because when the location of the detector in the installed site was near windows compared to an enclosed area, radon concentration variation increased. Therefore, it is considered that radon concentration is lower in summer because natural ventilation occurs more often than in winter.

• Environmental Analysis Health and Toxicology
• /
• v.27
• /
• pp.3.1-3.4
• /
• 2012

Objectives: The current use of humidifier detergent and its harmful impact on humans has arisen as a societal environmental health issue. Therefore, in this study we aimed to explore the relationship between demo-socio characteristics and humidifier use, as well as the monthly usage changes in pregnant women; thus, we report the actual status of humidifier usage of Korea's pregnant population. Methods: From a birth cohort of a Mothers and Children's Environmental Health (MOCEH) study, 1,144 pregnant women who responded through questionnaires including demo-socio characteristics, obstetric status and household environment including whether they use humidifier and frequency of use were included in this study. Statistical analyses were performed to explore the relationship between maternal characteristics and the relevance of the use of humidifiers was performed using a chi-square test, a t-test and univariate logistic regression analysis. The monthly usage rate was demonstrated in the graph. Results: The humidifier usage rate in pregnant women was 28.2%. The average frequency of humidifier usage was 4.6 days per week, 7.3 hours per day. The usage rate was higher in the multipara group and the above the age of 34 age group than in the primipara and below the age of 34 groups. Seoul showed a higher usage rate than Cheonan and Ulsan and as the education level and income increased, the usage rate of humidifiers among pregnant women also increased. In the monthly trend of usage rate, the winter season showed the highest usage rate of over 45% and the lowest in late summer and beginning of fall with a value of 12% or less. Conclusions: During pregnancy, the mother's body is especially vulnerable to hazardous environmental exposure that not only affects the pregnant woman but also the fetus. Further research is still needed to elucidate the route and effect of environmental risk factors. Therefore, based on precautionary and preventive principles, special interest and caution in harmful environments are strongly needed not only at an individual level but also at a national level.

• Journal of Korean Neurosurgical Society
• /
• v.61 no.6
• /
• pp.680-688
• /
• 2018

Objective : To mitigate the risk of iatrogenic instability, new posterior decompression techniques able to preserve musculoskeletal structures have been introduced but never extensively investigated from a biomechanical point of view. This study was aimed to investigate the impact on spinal flexibility caused by a unilateral laminotomy for bilateral decompression, in comparison to the intact condition and a laminectomy with preservation of a bony bridge at the vertebral arch. Secondary aims were to investigate the biomechanical effects of two-level decompression and the quantification of the restoration of stability after posterior fixation. Methods : A universal spine tester was used to measure the flexibility of six L2-L5 human spine specimens in intact conditions and after decompression and fixation surgeries. An incremental damage protocol was applied : 1) unilateral laminotomy for bilateral decompression at L3-L4; 2) on three specimens, the unilateral laminotomy was extended to L4-L5; 3) laminectomy with preservation of a bony bridge at the vertebral arch (at L3-L4 in the first three specimens and at L4-L5 in the rest); and 4) pedicle screw fixation at the involved levels. Results : Unilateral laminotomy for bilateral decompression had a minor influence on the lumbar flexibility. In flexion-extension, the median range of motion increased by 8%. The bone-preserving laminectomy did not cause major changes in spinal flexibility. Two-level decompression approximately induced a twofold destabilization compared to the single-level treatment, with greater effect on the lower level. Posterior fixation reduced the flexibility to values lower than in the intact conditions in all cases. Conclusion : In vitro testing of human lumbar specimens revealed that unilateral laminotomy for bilateral decompression and bone-preserving laminectomy induced a minor destabilization at the operated level. In absence of other pathological factors (e.g., clinical instability, spondylolisthesis), both techniques appear to be safe from a biomechanical point of view.

• Journal of the Korean Society of Child Welfare
• /
• no.36
• /
• pp.101-132
• /
• 2011

Using data collected from Korean mothers (N＝429) with preschool children (aged 3 to 5 years) in 12 day care centers in Seoul, this study aims to empirically demonstrate the different pathways acute and chronic stress affect parenting efficacy of mothers according to the income group to which they belong. Analytic results show mothers in the low-income group show higher levels of depressive symptoms than mothers in the middle-income group, and the former also show more frequent and higher levels of acute and chronic stress than the latter. The mediation model results show that acute stress and chronic stress did not directly affect parenting efficacy, but rather indirectly affect parenting efficacy through maternal depressive symptoms. Acute stress and chronic stress are both significant factors affecting depressive symptoms with chronic stress exerting greater influence. When the total effect was analyzed, chronic stress has a greater effect on parenting efficacy than acute stress. The effect of chronic stress on maternal depressive symptoms is greater on low-income mothers than middle-income mothers, while the effect of acute stress on maternal depressive symptoms and the effect of those symptoms on parenting efficacy are greater on middle class families than low-income families. In order to maximize effective parenting in high-risk situations, the psychological welfare of mothers needs to be protected from the environmental difficulties they face. Based on the results, policies to support women and parents at the national and social levels are discussed.

• Journal of Yeungnam Medical Science
• /
• v.38 no.4
• /
• pp.337-343
• /
• 2021

Background: Chromogranin A (CgA) levels have been reported to predict mortality in patients with heart failure. However, information on the prognostic value and clinical availability of CgA is limited. We compared the prognostic value of CgA to that of previously proven natriuretic peptide biomarkers in patients with acute heart failure. Methods: We retrospectively evaluated 272 patients (mean age, 68.5±15.6 years; 62.9% male) who underwent CgA test in the acute stage of heart failure hospitalization between June 2017 and June 2018. The median follow-up period was 348 days. Prognosis was assessed using the composite events of 1-year death and heart failure hospitalization. Results: In-hospital mortality rate during index admission was 7.0% (n=19). During the 1-year follow-up, a composite event rate was observed in 12.1% (n=33) of the patients. The areas under the receiver-operating characteristic curves for predicting 1-year adverse events were 0.737 and 0.697 for N-terminal pro-B-type natriuretic peptide (NT-proBNP) and CgA, respectively. During follow-up, patients with high CgA levels (>158 pmol/L) had worse outcomes than those with low CgA levels (≤158 pmol/L) (85.2% vs. 58.6%, p<0.001). When stratifying the patients into four subgroups based on CgA and NT-proBNP levels, patients with high NT-proBNP and high CgA had the worst outcome. CgA had an incremental prognostic value when added to the combination of NT-proBNP and clinically relevant risk factors. Conclusion: The prognostic power of CgA was comparable to that of NT-proBNP in patients with acute heart failure. The combination of CgA and NT-proBNP can improve prognosis prediction in these patients.

• International Area Studies Review
• /
• v.22 no.1
• /
• pp.141-159
• /
• 2018

The study aims to explore the factors that affect the value perception, satisfaction, and frequency of smart phone taxi applications in Shanghai, China, and commuters. According to a survey conducted on the actual use of taxi application, the majority of the customers responded that they have been using taxi apps for more than one or two years, and the results showed that they use taxi apps once or twice a week. It also showed that the actual use of taxi apps varies depending on their age and academic background. Among the value attributes of smart phone taxi applications, the respondents perceived ease of use as the highest at 4.41 points out of 5 point scale, while the risk perception was the lowest at 3.34 points. Finally, when social demographic characteristics and the nature of taxi app use were controlled, the value perception variables had a significant influence on taxi application satisfaction. The higher the perception of service quality, usefulness, and system usability, the higher the satisfaction levels were. In particular, the impact of perceived usefulness and system usability perception was high.