• Title/Summary/Keyword: cross sectional study

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Comparative analysis of craniofacial asymmetry in subjects with and without symptoms of temporomandibular joint disorders: a cross-sectional study

  • Anita Pradhan;Preeti Bhattacharya;Shivani Singh;Anil Kumar Chandna;Ankur Gupta;Ravi Bhandari
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.3
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    • pp.125-134
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    • 2023
  • Objectives: The aim of the study was to quantify and compare craniofacial asymmetry in subjects with and without symptoms of temporomandibular joint disorders (TMDs). Materials and Methods: A total of 126 adult subjects were categorized into two groups (63 with a TMDs and 63 without a TMDs), based on detection of symptoms using the Temporomandibular Joint Disorder-Diagnostic Index (TMD-DI) questionnaire. Posteroanterior cephalograms of each subject were traced manually and 17 linear and angular measurements were analyzed. Craniofacial asymmetry was quantified by calculating the asymmetry index (AI) of bilateral parameters for both groups. Results: Intra- and intergroup comparisons were analyzed using independent t-test and Mann-Whitney U test, respectively, with a P<0.05 considered statistically significant. An AI for each linear and angular bilateral parameter was calculated; higher asymmetry was found in TMD-positive patients compared with TMD-negative patients. An intergroup comparison of AIs found highly significant differences for the parameters of antegonial notch to horizontal plane distance, jugular point to horizontal plane distance, antegonial notch to menton distance, antegonial notch to vertical plane distance, condylion to vertical plane distance, and angle formed by vertical plane, O point and antegonial notch. Significant deviation of the menton distance from the facial midline was also evident. Conclusion: Greater facial asymmetry was seen in the TMD-positive group compared with the TMD-negative group. The mandibular region was characterized by asymmetries of greater magnitude compared with the maxilla. Patients with facial asymmetry often require management of temporomandibular joint (TMJ) pathology to achieve a stable, functional, and esthetic result. Ignoring the TMJ during treatment or failing to provide proper management of the TMJ and performing only orthognathic surgery may result in worsening of TMJ-associated symptoms (jaw dysfunction and pain) and re-occurrence of asymmetry and malocclusion. Assessments of facial asymmetry should take into account TMJ disorders to improve diagnostic accuracy and treatment outcomes.

The Relationship among Attitude toward DNR Orders, Depression and Self-esteem in the Elderly (노인의 심폐소생술 금지(DNR)에 대한 태도와 우울 및 자아존중감과의 관계)

  • Lee, Mi Hi;Kang, Hee Sun
    • 한국노년학
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    • v.27 no.2
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    • pp.323-334
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    • 2007
  • This cross-sectional descriptive study was performed to investigate the relationship among attitude toward DNR orders, depression, and self-esteem in the elderly. Method: The participants of this study were 99 elderly individuals who were hospitalized in four university hospitals in Seoul and Kangwon-do from October 1, 2006 to October 21, 2006. The data were collected using self-administered questionnaires. Results: The mean scores were 3.99 for attitude toward DNR orders(range of 1-5), 6.64 for depression(range of 1-15), and 26.83 for self-esteem(range of 10-40). Self-esteem was significantly correlated with attitude toward DNR orders(r=.200, p=.047). About half of the participants(49.5%) responded that the proper time for obtaining DNR consent was when they were healthy and could express their own intentions and make the decision by themselves. Most of the participants showed a positive attitude toward DNR orders. The participants preferred to make the DNR decision when they were healthy. Therefore, health care providers working with the elderly should try to discuss the DNR decision with their patients when they are conscious and able to make the DNR decision by themselves rather than leaving the decisions up to the patient's family members

A Study on the Effects of Discrimination Experience on Self-image and Self-esteem among the Korean elderly: Moderating Effects of Social and Economic Activity Participation (노인의 차별경험이 자아이미지와 자아존중감에 미치는 영향에 관한 연구: 사회·경제적 참여의 조절효과를 중심으로)

  • Ahn, Joonhee;Kim, Seongyong
    • 한국노년학
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    • v.29 no.4
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    • pp.1645-1663
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    • 2009
  • The purpose of the study is to analyze the mediating effects of self-image on the relationship between experience of discrimination and self-esteem among the elderly in Korea. Furthermore, it is to explore whether these effects are moderated by social and economic activity participation. Data were collected from a cross-sectional survey of 543 community-dwelling Korean older adults (age≥65) drawn from community and senior centers in the mid-size city in Korea. The statistical analysis was performed by a structural equation modeling using LISREL statistical program. The results are fourfold. First, experiences of discrimination exerted the negative effects on physical, dispositional, and competent self-images of the elderly. Second, dispositional and competent self-image brought down by discriminative experiences lowered the levels of self-esteem. Third, social activity participation moderated the negative effects of discrimination experiences on physical and dispositional self-images. It also moderated the effects of dispositional self-image on self-esteem. Fourth, economic activity participation did not show moderating effects on the relationship between experience of discrimination and self-images. Meanwhile, it moderated the effect of competent self-image on self-esteem. These results demonstrate that to improve self-esteem of the elderly population, social welfare policies should make effort to reduce discrimination toward the elderly. Furthermore, social welfare organizations should also try to implement diverse community based programs geared for enhancing social and economic activities for elderly. Limitations and directions for future research are also discussed.

The Empirical Research on Relationship of Consumption Value, Satisfaction, Trust, Loyalty of Green Product in Elderly Consumer (실버 소비자의 친환경 제품에 대한 소비 가치가 만족도, 신뢰, 충성도에 미치는 영향 - 하이브리드 카를 중심으로 -)

  • Hur, Won-Moo;Ahn, Joonhee
    • 한국노년학
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    • v.29 no.1
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    • pp.195-213
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    • 2009
  • The purpose of this study is to analyse how consumption value affects the loyalty of green product through satisfaction and trust among elderly consumers. Data were collected from a cross-sectional survey of 314 older adults (age≥60) in the U. S., who bought and possessed a hybrid car, a representative green product. The statistical methodology is employed a structural equation model. The results demonstrated several important findings. First, perceived social value among elderly population had significant effects on green product satisfaction, while hedonic value did not. Second, both perceived functional value and environment friendly value had a significant positive effect on trust in green products. Third, satisfaction with green products also led to trust in green products. Finally, trust in green products showed their significant effects on loyalty in green product. These results provide practical implications to improve the trust and loyalty in green products among the elderly consumers. Furthermore, by deriving major components of consumption values in green products among the elderly, and analyzing the mechanism of satisfaction, trust, and loyalty, the study emphasizes relationship marketing in implementing "green" marketing strategies.

The Influence of Positive Thought about Social Capital on Social Participation of the Elderly Koreans (사회 자본에 대한 긍정적인 생각이 한국노인의 사회 참여에 미치는 영향)

  • Lee, Hyo Young;Jeon, Gyeong Suk
    • 한국노년학
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    • v.29 no.3
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    • pp.789-803
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    • 2009
  • We investigated the influences of positive thought about social capital on social participation of the elderly Koreans. The study design was cross-sectional analysis of the National Statistic Office Study of Korean Society Statistics Survey 2003. Participants were total of 8,586 representative samples. Two types of social participation were investigated: meeting attendance and volunteer obligations. The base model included five thoughts about social capital that must be settled as a priority in Korea, i.e., reducing the differences between the rich and the poor, reducing the crime rate, reducing regulations and corruption, improving the moral level, eliminating environmental pollution. Social participation was influenced by positive thoughts about social capital, and different kinds of thoughts had different influences on different types of social participation. The elderly who responded positively to 'reducing the differences between the rich and the poor' attended all two types of social participation more. Along with education and health status, positive thought about social capital is another important factor that influences increased social participation. It may also compensate for deteriorating health with increasing age by promoting social participation. Encouraging social participation is a good way to improve the health of the elderly, as are efforts to change thought about social capital positively.

Effects of Old-age Income Level on Life Satisfaction: Focusing on Effects of the Relative Income of Reference Groups (노후 소득수준이 생활만족도에 미치는 영향: 준거집단의 상대소득 효과를 중심으로)

  • Kim, Hakju
    • 한국노년학
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    • v.39 no.1
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    • pp.169-188
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    • 2019
  • In this study, the author utilizes longitudinal data of the recent 12 years to verify whether the absolute versus relative income of old age has a significant effect on their life satisfaction of life. The findings of this study show that there is a significant difference in life satisfaction of old age according to respondents' relative income of three reference groups based on their asset quintile and residental area and education. In the correlation analysis using the cross-sectional data, the absolute and relative income level was closely related to the life satisfaction. In the panel regression analysis using the 12 years longitudinal data from the Korea National Labour Panel dataset, the income level of counterparts in those reference groups appeared highly significant in determining the level of life satisfaction of the elderly. However, some demographic variables such as age and marital status did not have a statistically significant effect in the long-term perspective. The income of reference groups in terms of asset levels, education and region as well as their own past life satisfaction level had a significant effect on the elders' life satisfaction determination. These results suggest that the relative income hypothesis in terms of life satisfaction among the elderly is more valid than the previous absolute income hypothesis.

The Association between Resting Heart Rate and Colorectal Cancer Prevalence in Korean adults: The Korea National Health and Nutrition Examination Survey (KNHANES) 2005-2014 (한국 성인의 안정시 심박수와 대장암 유병율의 관계: 국민건강 영양조사 2005년부터 2014년 자료를 바탕으로)

  • Min, Ji Hee;Lee, Dong Hoon;Kim, Ji young;Kang, Dong-Woo;An, Ki Yong;Jeon, Y Justin
    • 한국체육학회지인문사회과학편
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    • v.57 no.2
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    • pp.509-518
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    • 2018
  • The purpose of this study was to examine the association between resting heart rate (RHR) and the prevalence of colorectal cancer in Korean adults. A cross sectional analysis was performed using the Korea National Health and Nutrition Examination Survey (2005 to 2014). Total number of subjects were 10,564 adults aged over 19 years. The results showed that individuals in the highest quartile of RHR had a significantly higher prevalence of colorectal cancer (Odds ratio (OR) 2.27, 95% confidence interval (CI): 1.34-3.85 to OR 3.00, 95%CI: 1.30-6.92) compared to those in the lowest quartile. Futhermore, every 10 beat per minutes (bpm) increase in RHR was associated with 27% (95%CI: 1.03-1.58) increased prevalence of colorectal cancer. In addition, after stratification by age and gender, the result showed that older people (>65 years) in the highest quartile of RHR had a significantly higher prevalence of colorectal cancer compared to those who were in the lowest quartile of RHR. (male OR 3.19, 95%CI: 1.10-9.24 to OR 3.38, 95%CI: 1.18-9.73; female OR 2.90, 95%CI: 1.13-7.42 to OR 5.59, 95%CI: 1.20-25.99). In this study, we examined the feasibility of RHR as a predictive factor of colorectal cancer prevalence. Moreover, we found that RHR was closely related to the prevalence of colorectal cancer in the age of over 65 years.

The Effect of P-O Fit on the Frontline Employee's Boundary Spanning Behaviors: Mediating Role of Emotional and Motivational Responses

  • Yoo, Jaewon
    • Asia Marketing Journal
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    • v.15 no.2
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    • pp.49-73
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    • 2013
  • In this study, the author develops and tests a model that incorporates the mediating effects of two frontline employee psychological variables (emotional exhaustion and intrinsic motivation) based on job demand and resource model. As a form of environmental resource, person-organization fit was proposed as a leading factor of frontline employee boundary spanning behavior through emotional exhaustion and intrinsic motivation. All measures were adapted from or developed based on prior research. Data for the study were collected from a cross-sectional sample of retail bank employees in South Korea. Questionnaires were distributed to 500 frontline employees across several banks. Of these, 322 usable questionnaires were returned. To analyze the data, a structural equation model procedure using LISREL 8.5 was employed. Results show that an employee's perceived fit with his/her organization enhances intrinsic motivation and reduces emotional exhaustion. These mechanisms, in turn, increase the employee's boundary spanning behavior. These results support the notion that person-organization fit should be one of the factors affecting motivation, affect and attachment, and extends such an understanding to a purely service-based environment among customer contact employees. Results also confirms that P-O fit can be viewed as environmental resources, and the JD-R model provides a theoretical base in further studying the antecedent role of P-O fit on frontline employees's boundary spanning behavior through intrinsic motivation and emotional exhaustion. These results suggest that organizations have to do their best to manage P-O fit, be it through employee screening or training and workshops to try and align organization and employee values and objectives. If managers of organizations are positively evaluated by the employees, it will be easier for them to, give things of value to employees, such as sense of direction, values, and recognition, and receive other things in return such as esteem and responsiveness. Consequently, organizational leaders are not only able to manage employee experiences, but also their fit with the organization. Even if a manager cannot control employee P-O fit, this research suggests, that a focus on reducing emotional exhaustion rather than increasing intrinsic motivation seems optimal. This research also supports the idea that motivation has a direct association with a frontline employee's boundary spanning behavior. Even in situations where emotional exhaustion cannot be reduced, organizations may still influence frontline behaviors through motivation.

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The Study for Reduction Effect of Riverbed Scour due to Shape of Vanes (베인 형태에 따른 하상세굴 저감 효과에 관한 연구)

  • Hae Min Noh;Ho Jin Lee;Sung Duk Kim
    • Journal of Korean Society of Disaster and Security
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    • v.16 no.2
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    • pp.57-63
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    • 2023
  • Recently, Heavy rains and super typhoons occurred by climate change cause a lot of damage in Korea. In order to reduce such damage, various types of river maintenance projects are being promoted, but it is difficult to maintain the balance of rivers in Korea with distinct flood and dry seasons. In particular, river structures installed as a river maintenance project cause various problems such as scouring of structures and their foundations during floods and river bed changes. In order to reduce such bed scour, various vanes are installed in the bend of the river, and various bed scour reduction effects appear depending on the size, arrangement, and shape of the vanes. The vane regenerates the secondary flow in the opposite direction to the secondary flow generated by the centrifugal force, thereby reducing scour around the outer bed and promoting deposition. The theory of this study uses the governing equation applying the continuity equation that satisfies the law of conservation of mass and the momentum equation that satisfies the conservation of momentum, and measures the overall average flow velocity change rate according to design factors to investigate the effect of vanes under various conditions. Both the average and cross-sectional flow velocities decreased in both the trapezoidal vane and the square vane. In addition, vanes installed perpendicularly or inclined to the direction of river flow generate a secondary flow in the opposite direction to the secondary flow generated by centrifugal force, thereby canceling the secondary flow of centrifugal force, so the effect of the vane appears.

Analysis of Flood Level Changes by Creating Nature-based Flood Buffering Section (자연성기반 홍수완충공간 조성에 따른 홍수위 변화 분석)

  • Ryu, Jiwon;Ji, Un;Kim, Sanghyeok;Jang, Eun-kyung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.6
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    • pp.735-747
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    • 2023
  • In recent times, the sharp increase in extreme flood damages due to climate change has posed a challenge to effectively address flood-related issues solely relying on conventional flood management infrastructure. In response to this problem, this study aims to consider the effectiveness of nature-based flood management approaches, specifically levee retreat and relocation. To achieve this, we utilized a 1D numerical model, HEC-RAS, to analyze the flood reduction effects concerning floodwater levels, flow velocities, and time-dependent responses to a 100-year frequency flood event. The analysis results revealed that the effect of creating a flood buffer zone of the nature-based solution extends from upstream to downstream, reducing flood water levels by up to 30 cm. The selection of the flow roughness coefficient in consideration of the nature-based flood buffer space creation characteristics should be based on precise criteria and scientific evidence because it is sensitive to the flood control effect analysis results. Notably, floodwater levels increased in some expanded floodplain sections, and the reduction in flow velocities varied depending on the ratio of the expanded cross-sectional area. In conclusion, levee retreat and floodplain expansion are viable nature-based alternatives for effective flood management. However, a comprehensive design approach is essential considering flood control effects, flow velocity reduction, and the timing of peak water levels. This study offers insights into addressing the challenges of climate-induced extreme flooding and advancing flood management strategies.