• Title/Summary/Keyword: Six Main Factors

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Factors Affecting Hospitalized Children's Falls - Using Data in the National Hospital Discharge In-depth Injury Survey (입원 아동의 낙상영향요인 -퇴원손상심층조사 자료를 이용하여-)

  • Lee, Jeong Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.510-516
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    • 2020
  • This study investigated the characteristics and factors affecting inpatient infants, children, and adolescents who experienced falling, using NHDIS data from 2008 through 2017, The study analyzed data of 116 patients who were under 18 and who experienced injuries (KSCD, S00-S99) by falling (KSCD, W00-W19). Frequency analysis, cross-tabulations, and multiple regression analysis were conducted, using SPSS 23. There were more boys than girls, and most of the falls occurred at the ages of over one to under six years old. Most of the children had respiratory diseases, and most had open wounds or bruises due to falling. Also, most of the falls were related to the bed. In the factor analysis, age (β=.318), the main diagnosis (β=.231), and injury (β=.169) except gender affected falling. This suggests that it is necessary to conduct fall prevention education for children, considering the developmental stage characteristics and age group. It is necessary to screen the risk group such as children with a disease with relatively less restriction of activities or with a hyperactive disorder, and to develop a related manual. Hopefully, the results will be used as the basic data for fall prevention education and creating a fall prevention manual according to the characteristics of children's developmental stage for patients who need hospitalization, their caregivers, and the relevant medical team.

Pre-treatment Metabolic Tumor Volume and Total Lesion Glycolysis are Useful Prognostic Factors for Esophageal Squamous Cell Cancer Patients

  • Li, Yi-Min;Lin, Qin;Zhao, Long;Wang, Li-Chen;Sun, Long;Dai, Ming-Ming;Luo, Zuo-Ming;Zheng, Hua;Wu, Hua
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.3
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    • pp.1369-1373
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    • 2014
  • Objectives: To study application of the maximum standardized uptake value (SUVmax), metabolic tumor volume (MTV) and total lesion glycolysis (TLG) with $^{18}F$-FDG PET/CT for predicting prognosis of esophageal squamous cell cancer (ESC) patients. Methods: Eighty-six patients with ESC staged from I to IV were prospectively enrolled. Cisplatin-based chemoradiotherapy (CCRT) or palliative chemoradiotherapy were the main treatment methods and none received surgery. $^{18}F$-FDG PET/CT scans were performed before the treatment. SUVmax, MTV, and TLG were measured for the primary esophageal lesion and regional lymph nodes. Receiver operating characteristic curves (ROCs) were generated to calculate the P value of the predictive ability and the optimal threshold. Results: MTV and TLG proved to be good indexes in the prediction of outcome for the ESC patients. An MTV value of 15.6 ml and a TLG value of 183.5 were optimal threshold to predict the overall survival (OS). The areas under the curve (AUC) for MTV and TLG were 0.74 and 0.70, respectively. Kaplan-Meier analysis showed an MTV less than 15.6 ml and a TLG less than 183.5 to indicate good media survival time (p value <0.05). In the stage III-IV patient group, MTV could better predict the OS (P < 0.001), with a sensitivity and specificity of 0.80 and 0.67, respectively. Conclusions: Pre-treatment MTV and TLG are useful prognostic factors in nonsurgical ESC.

Development and Validation of the Post-bereavement Growth Inventory in Later Life (노년기 사별 후 성장척도의 개발 및 타당화)

  • Chang, Sujie
    • Korean Journal of Social Welfare
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    • v.67 no.2
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    • pp.61-84
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    • 2015
  • The purpose of this study was to develop the Post-bereavement Growth Inventory(PBGI) for the elderly and to evaluate its validity. The items for developing PBGI were compiled from a literature search, content validity review, and a preliminary survey. A main survey of 308 widowed persons(aged 60+) was conducted. The results were as follows. First, an exploratory factor analysis revealed six factors of the PBGI. The results of the confirmatory factor analysis supported a five-factor structure for the final 24 scale items of scale. Second, in terms of concurrent validity, the PGBI compared favorably with the "Personal Growth" scale from The Hogan Grief Reaction Checklist (HGRC: Hogan and Schimdt, 2001). Third, the results of contrast group validity tests demonstrated that the group scoring in the upper 30% on the scales of Psychological Well-being (PWB, Ryff and Keyes, 1995) and the Grief Reaction Inventory (GRI: Remondet and Hansson, 1987) showed a significantly higher degree of post-bereavement growth (PBG) than the group scoring in the lower 30%. Fourth, Cronbach's ${\alpha}$ values for the five factors were between .649-.856 and .907 overall, indicating high internal consistency. Finally, education had the most significant influence on PBG. All results indicated the high validity of the PBGI. The findings from this study could provide the rationale for practical interventions from a growth-oriented perspective for widowed persons, as well as an objective assessment tool for practitioners in clinical areas.

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Leisure Constraints and Negotiation based on the Marital Status in Career Women (직장여성의 결혼에 따른 여가제약과 여가제약협상)

  • Kim, Hongseol;Lee, Munjin;Hwang, Sunhwan
    • The Journal of the Korea Contents Association
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    • v.15 no.1
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    • pp.242-251
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    • 2015
  • The purpose of this study was to explore leisure constraints and the strategies to overcome leisure constraints of career women, and to examine the difference in leisure constraints and leisure constraints negotiation strategies between married and unmarried career women. In Seoul, a total of 440 career women selected using the cluster quota sampling method participated in the current study. Finally, 433 responded data with the exception of 7 unreliable surveys were employed for the analyses such as frequency, exploratory factor, reliability analysis, and t-test. Main findings were as follows; First, six factors including interpersonal, intrapersonal, time, expense and information, environmental, and physical constraints were extracted for career women. Environment and time commonly constrained their participation in leisure activities the most. Second, five factors including skill acquisition, finding alternative activity, control intensity, finding partners, and financial and time management strategies were extracted for them. Third, there were the differences in time and physical constraints between two groups and married career women's constraints were higher than singles. Finally, there was the difference in skill acquisition strategy and married career women's it was higher than the other group.

A study on the Change of Uniaxial Compressive Strength and Young's Modulus According to the Specimen Size of Intact Material (무결함 재료의 크기에 따른 강도와 탄성계수의 변화에 관한 연구)

  • Lee, Seung-Woo;Song, Jae-Joon
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.8 no.3
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    • pp.205-217
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    • 2006
  • Rock and discontinuities are main factors consisting of a rock mass and the physical properties of each factor have direct effects on the mechanical stability of artificial structures in the rock mass. Because physical properties of the rock and discontinuities change a lot according to the size of test materials, a close attention is needed when the physical properties, obtained from laboratory tests, are used for the design of field structures. In this study, change of physical properties of intact materials due to the change of their size are studied. Six kinds of artificial materials including crystal, instead of an intact rock, are adopted for the study to guarantee the homogeneity of specimen materials even with relatively large size. Uniaxial strength and Young's modulus of each artificial material are checked out for a size effect and compared with the predicted values by Buckingham's theorem - dimensional analysis. A numerical analysis using PFC (Particle Flow Code) is also applied and primary factors influencing on the size effect are investigated.

Clinical Analysis of Death in Trauma Patients (외상으로 인한 사망 환자의 임상적 분석)

  • Kim, Whan Sik;Cho, Min Su;Bae, Keum Seok;Kang, Seong Joon;Lee, Kang Hyun;Hwang, Keum;Oh, Jin Rok;Park, Il Hwan
    • Journal of Trauma and Injury
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    • v.20 no.2
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    • pp.96-100
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    • 2007
  • Purpose: Trauma is the 5th most common leading cause of death in Korea, but there has been no appropriate management system for patients until now. We analyzed the main causes of death in trauma patients by comparing the characteristics of those patients with the characteristics of patients who survived. We feel this analysis should have a positive effect on the development of an appropriate trauma management system in Korea. Methods: We retrospectively reviewed trauma patients who had been admitted to the Department of General Surgery from February 2002 to February 2007. We compared several expected risk factors between the mortality and the survival group. Data on the transportation, arrival time at the emergency center, amount of transfusion, initial shock index, cause of death, and initial physical condition according to RTS (Revised trauma score), ISS (Injury severity score) and TRISS (Trauma and Injury Severity Score) were collected. Patients with ISS lower than 12 were excluded. Results: Three hundred sixty-six(366) patients with multiple injuries were included. There were 40 patients in the mortality group and 326 patients in the survival group. The mean arrival time (minutes) to emergency center was longer in the mortality group (137.6 vs 93.6 p 0.04). The total amount of transfusion (ml) was larger in the mortality group (7139 vs 2470 p 0.01). The initial shock index was higher in the mortality group (1.45 vs 1.17 p<0.01). The RTS, ISS, and TRISS were not statistically different between the groups. In the multivariate analysis, mean arrival time and initial shock index were important factors for survival. Conclusion: If the mortality rate of trauma patients is to be reduced, the arrival time at the emergency center should be minimized. Improvement of the emergency medical transfer service system is very important for achieving that.

The Metabolizable Energy Value, Standardized Ileal Digestibility of Amino Acids in Soybean Meal, Soy Protein Concentrate and Fermented Soybean Meal, and the Application of These Products in Early-weaned Piglets

  • Zhang, H.Y.;Yi, J.Q.;Piao, X.S.;Li, P.F.;Zeng, Z.K.;Wang, D.;Liu, L.;Wang, G.Q.;Han, X.
    • Asian-Australasian Journal of Animal Sciences
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    • v.26 no.5
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    • pp.691-699
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    • 2013
  • Three experiments were conducted to evaluate the metabolizable energy (ME) value, standardized ileal digestibility (SID) of amino acids (AA) of soybean meal (SBM), soy protein concentrate (SPC) and fermented soybean meal (FSBM), and the application of these products in early-weaned piglets. In Exp. 1, four barrows with initial body weight (BW) of $14.2{\pm}1.4$ kg were used in a $4{\times}4$ Latin square design. The diet 1 contained corn as the only energy source. The other three diets replaced 25% of corn in diet 1 with one of the three soybean products, and the digestable energy (DE) and ME contents were determined by difference. In Exp. 2, four barrows (initial BW of $18.2{\pm}1.5$ kg) were fitted with ileal T-cannulas and allotted to a $4{\times}4$ Latin square design. Three cornstarch-based diets were formulated using each of the soybean products as the sole source of AA. A nitrogen-free diet was also formulated to measure endogenous losses of AA. In Exp. 3, ninety six piglets (initial BW of $5.6{\pm}0.9$ kg) weaned at $21{\pm}2$ d were blocked by weight and assigned to one of three treatments for a 21-d growth performance study. The control diet was based on corn and SBM, the two treatments' diets contained either 10% SPC or FSBM and were formulated to same SID lysine to ME ratio of 3.6 g/Mcal. The results showed that the ME content of SPC was greater than SBM (p<0.05). The SID of most AA in SPC was greater than the SID of AA in SBM (p<0.05). For the essential AA, the SID of histidine, isoleucine, leucine, lysine and threonine in FSBM were greater than in SBM (p<0.05). Even though they were fed same SID lysine to ME ratio of 3.6 g/Mcal diets, pigs fed SPC and FSBM diets had greater weight gain, G:F (p<0.05) and better fecal score (p<0.05) than pigs fed SBM diet. In conclusion, SPC showed a higher ME content and SID of AA than the SBM. SID of some essential AA in FSBM was higher than SBM and was similar with SPC. But the lower antigenic proteins and anti-nutritional factors content in SPC and FSBM may be the main factors affecting the performance of early-weaned piglets rather than the increased ME content and SID of AA.

A Study on the Process of Being Delinquent (청소년 비행화과정에 관한 연구 - 중학생을 중심으로 -)

  • Lee, Ik-Seob;Kim, Geun-Sik
    • Korean Journal of Social Welfare
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    • v.35
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    • pp.319-344
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    • 1998
  • The endeavor to reveal reasons and backgrounds of juvenile's being delinquent has been continuing. Most of them, however, are not multi-dimensional and integrative, but one-dimensional which has had just focused on the factor of family or individual. One of the main purposes of this. study is to get implications on practical programs through the ecological-systematic analysis on factors and processes of juvenile delinquency. In this study, region has separated into two, one is of poor and the other is non, and then informations on factors and process of being delinquent were gathered by comparing between them. Eleven hundreds and sixteen cases were sampled from six junior-high schools which have met the purpose of this study. The survey had been committed with structured questionnaire which had been consisted in several variables; personal; familial; school and peer related; delinquent characteristics. Reliability and validity of each variables had been tested through pilot test. Effects of independent variables on dependent variables were analyzed according to the region through path analysis. In the analysis, remarkable differences on the processes of being delinquent had been found and three path models of being delinquent had been made on the basis of those differences. Each of them has shown different effecting patterns of personal, familial, and school and peer related variables on one's degree of delinquency. In Pattern 1, peer related variables have committed more powerful effects on the degree of delinquency than the others have. School related variables, in Pattern 2, commit most striking effects on the dependent variables. The degree of delinquency in Pattern 3 is most strongly effected by familial variables. The limitations that personal behavior oriented approach might be confronted in the field of juvenile delinquency have been proved by these results of this study. These results have given many implications to us on the needs of distinctive and integrative approaches to the problems of juvenile delinquency.

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Macro Analysis of Factors Impacting on the Elderly's Suicide Rates in the Republic of Korea (노인자살률에 영향을 미치는 요인에 대한 거시적 분석)

  • Kim, Ki-Won;Kim, Han-Gon
    • Korea journal of population studies
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    • v.34 no.3
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    • pp.31-54
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    • 2011
  • The main purposes of this study are to describe regional differentials of the rate and to explore factors impacting on the regional differentials among the elderly's suicide rate in the Republic of Korea. Suicide data among 16 provinces from 2000 to 2008 were used for the statistical analyses. Six independent variables, such as crude divorce rate, GRDP per capita, welfare budget proportion, number of leisure facilities, number of medical and housing welfare facilities, and number of sports facilities are introduced for the multiple regression analyses. Elderly suicide rate, female elderly's suicide rate, and male elderly's suicide rate are used for the dependent variables. The findings of this study are as follows: Elderly's suicide rate has been increased constantly since 2000 and regional differentials of the elderly's suicide have been existed over time. According to the multiple regressions analyses, number of sports facilities(${\beta}$=-521), welfare budget proportion, and number of leisure facilities(${\beta}$=-219) have shown statistically significant negative relationships with the elderly's suicide rate. On the other hand, number of medical facilities(${\beta}$=0.550), crude divorce rate(${\beta}$=0336) have shown statistically significant positive relationships with the elderly's suicide rate in the Republic of Korea. Finally, some policy implications for alleviating the elderly's suicide rate are introduced and discussed.

An Instrument Development and Validation for Measuring High School Students' Systems Thinking (고등학생들의 시스템 사고 측정을 위한 측정 도구 개발과 타당화)

  • Lee, Hyonyong;Kwon, Hyuksoo;Park, Kyungsuk;Lee, Hyundong
    • Journal of The Korean Association For Science Education
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    • v.33 no.5
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    • pp.995-1006
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    • 2013
  • The purposes of this study were to develop an instrument to measure high school students' systems thinking and to validate the scale. The scale of systems thinking was made up for 5 factors - systems thinking, mental model, shared vision, personal mastery, and team learning through analyses of related literature. Six items per factor were constructed and the scale consisted of a total of 30 items for the pretest. After exploratory factor analysis, the number of total items was reduced to 20 items. For the main test, 280 students were sampled from high school and analyzed valid cases were 260 students. The finding of the exploratory factor analysis indicated 5 factors in the model, and 4 items per single factor. The result of confirmatory factor analysis was generally appropriate and acceptable (5 factor model: $x^2/df$=1.275, TLI=.946, CFI=.959, RMSEA=.033). The reliability for 20 items turned out to be reliable because the Cronbach's alphas were .840 and .604~.723 per each factor. This study should be expanded to various school levels and should be standardized for further research. The subsequent studies regarding diverse learning program development and implementation and the verification on the students' impact within the developed program can be recommended.