• Women's Health Nursing
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• v.28 no.2
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• pp.123-133
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• 2022

Purpose: This study investigated the trajectory of subjective health status in married postmenopausal women and aimed to identify predictive factors affecting subjective health status. Methods: Data were obtained from women who participated in wave 4 (2012) of the Korean Longitudinal Survey of Women & Families Longitudinal Study and continued to the latest phase (wave 7, 2018). A latent growth model (LGM) was used to analyze data from 1,719 married postmenopausal women in the framework of the ecological system theory. Results: The mean age of the participants at wave 4 was 56.39±4.71 years, and the average subjective health status was around the midpoint (3.19±0.84). LGM analysis confirmed that subjective health status decreased over time (initial B=3.21, slope B=-0.03). The factors affecting initial subjective health were age, body mass index, frequency of vigorous physical activity (microsystem level), marital satisfaction (mesosystem level), and medical service utilization (macrosystem level). Medical service utilization and the frequency of vigorous physical activity were identified as predictive factors affecting the slope in subjective health status. The model fit was satisfactory (TLI=.92, CFI=.95, and RMSEA=.04). Conclusion: This analysis of the trajectory of subjective health status of married postmenopausal women over time confirmed that subjective health is influenced by overall ecological system factors, including the microsystem, mesosystem, exosystem, macrosystem, and chronosystem. Therefore, it is necessary to assess physical activity and support policies promoting access to medical services in order to improve the subjective health status of married postmenopausal women.

• Korean Journal of Social Welfare Studies
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• v.44 no.3
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• pp.85-112
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• 2013

This study aims to understand the developmental trajectories of life satisfaction among retirees and to examine what factors differentiate different trajectory classes. This study used three waves of longitudinal data from Korean Retirement and Income Study and data collected every two years(2005, 2007, and 2009). Subjects were respondents aged 50-69 who identified to be retired between wave 1 and wave 2. Finally, this study used 243 respondents for final data analysis. Life satisfaction was measured by seven items. The latent class growth model and multiple logistic regression model were used for data analysis. This study identified three distinct trajectory classes: high stable class(47.7%), high at the early stage but decreased class(42.8%), and low at the early stage and then decreased class(9.5%). This study founded that approximately 50% of the retirees experienced the decline of life satisfaction after retirement and about 10% of the sample was the most vulnerable group. This study analyzed what factors make different among the distinct trajectory groups. As a results, retirees who experienced the improvement in health change were more likely to be in 'high stable class' compared to 'hight at the early stage but decreased class'. In addition, retirees who were less educated, maintained the same health status rather than the improvement, worked as a temporary or a day laborer, and had less household income were more likely to belong to 'low at the early stage and then decreased class' relative to 'high stable class'. This study suggests that there are distinct three trajectories on life satisfaction among the retirees and finds out factors differentiating between trajectory groups. Based on these findings, the study discusses the implications for social work practice and further study.

• Journal of the Institute of Electronics and Information Engineers
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• v.53 no.6
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• pp.137-145
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• 2016

A novel tracking method is proposed to find coronary artery using high-order curve model in coronary CTA(Computed Tomography Angiography). The proposed method quickly generates numerous artificial trajectories represented by high-order curves, and each trajectory has its own cost. The only high-ranked trajectories, located in the target structure, are selected depending on their costs, and then an optimal curve as the centerline will be found. After tracking, each optimal curve segment is connected, where optimal curve segments share the same point, to a single curve and it is a piecewise smooth curve. We demonstrated the high-order curve is a proper model for classification of coronary artery. The experimental results on public data set sho that the proposed method is comparable at both accuracy and running time to the state-of-the-art methods.

• Korean Journal of Social Welfare Studies
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• v.43 no.1
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• pp.389-411
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• 2012

A new era of research has focused on examining the growth of change in drinking problems among the elderly. Thus, the purpose of the present study was two fold: (1) to investigate trajectories of drinking problems(CAGE) among the Korean elderly(age$${\geq_-}65$$); and (2) to identify the predicting factors for the intercept and the slope of alcohol problems using multi-level growth curve model. Data come from three waves(1st wave(2006)~3rd wave(2008) of the Korea Welfare Panel(KWP) study. The results indicated that the levels of drinking problems decreased over time and that age, gender, marital status, religion, poverty, self-rated health, and social relationship satisfaction were associated with the baseline CAGE. Further analysis showed that social relationship satisfaction affected the declining slope of drinking problems over time. Specifically, among those who satisfied social relationship, there was a sharp decline of CAGE over time. Overall findings highlight the importance of developing and implementing effective alcohol prevention programs for the elderly in the community settings to mitigate the harmful effects of various psycho-social stressors. Especially, programs to maintain and form healthy social support network are suggested as critical interventions for prevention as well as recovery of alcohol problems in late life.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.5
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• pp.1851-1856
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• 2012

Immigration to a nation with a stronger anti-smoking environment has been hypothesized to make smoking less common. However, little is known about how environments influence risk of smoking across the lifecourse. Research suggested a linear decline in smoking over the lifecourse but these associations, in fact, might not be linear. This study assessed the possible nonlinear associations between age and smoking and examined how these associations differed by environment through comparing Koreans in Seoul, South Korea and Korean Americans in California, United States. Data were drawn from population based telephone surveys of Korean adults in Seoul (N=500) and California (N=2,830) from 2001-2002. Locally weighted scatterplot smoothing (lowess) was used to approximate the association between age and smoking with multivariable spline logistic regressions, including adjustment for confounds used to draw population inferences. Smoking differed across the lifecourse between Korean and Korean American men. The association between age and smoking peaked around 35 years among Korean and Korean American men. From 18 to 35 the probability of smoking was 57% higher (95%CI, 40 to 71) among Korean men versus 8% (95%CI, 3 to 19) higher among Korean American men. A similar difference in age after 35, from 40 to 57 years of age, was associated with a 2% (95%CI, 0 to 10) and 20% (95%CI, 16 to 25) lower probability of smoking among Korean and Korean American men. A nonlinear pattern was also observed among Korean American women. Social role transitions provide plausible explanations for the decline in smoking after 35. Investigators should be mindful of nonlinearities in age when attempting to understand tobacco use.

• Journal of Welding and Joining
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• v.28 no.1
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• pp.100-106
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• 2010

In this paper crack propagation analyses in the dissimilar metal weldment of a nozzle were performed using a finite element alternating method (FEAM). A two-dimensional axisymmetric finite element nozzle model was prepared and welding simulation including the thermal heat transfer analysis and the thermal stress analysis was performed. Initial cracks were inserted at weld and heat affected zone in the finite element model which has welding residual stress distribution obtained from the welding simulation. To calculate crack propagation trajectories of these cracks, a new fatigue crack evaluation module was developed in addition to the previous FEAM program. With the new FEAM fatigue crack evaluation module, crack propagation trajectory and crack growth time were calculated automatically and effectively.

• Proceedings of the KIEE Conference
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• 2002.07d
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• pp.2457-2459
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• 2002

In this paper, we describe the way how to create a curvature trajectory where the dynamics of a mobile robot is considered. Synchro-drive motor is used in a mobile robot. And translational and rotational speeds are controlled independently. Using these two speeds, a mobile robot traces a smooth curvature trajectory that consists of circle trajectories to a target point. While trying to avoid obstacles, the robot can be goal-directed using curvature trajectory. Also, while the robot can navigate the trajectory, the maximum speed is controlled to trade off speed and safely.

• Korean Journal of Health Education and Promotion
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• v.32 no.3
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• pp.97-107
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• 2015

Objectives: The current study aims to examine whether the influence of National Long-term Care Insurance(NLCI) on the quality of life(QoL) trajectory of older adults with disabilities is more positive than its influence on those without disabilities. Methods: Sample consisted of 5,362 elderly aged 65 and over who participated in the Korean Welfare Panel Study from Wave1 to Wave7. Data were analyzed using latent growth curve modeling. Results: Major findings are as follows. (1) Before the NLCI, the trajectories of QoL between older adults with disabilities and those without were same. (2) After the NLCI, elders with disabilities showed lower levels of QoL at the beginning, but the gaps gradually decreased with time. These results indicate that the implementation of NLCI more positively affected elders with disabilities than those without disabilities. Conclusions: These results suggest that the NLCI functions properly as one of social security nets to cope with the needs of older adults with disabilities. In conclusion, it is critical to develop a sustainable NLCI system to enhance the QoL of older adults with disabilities.

• Korean Medical Education Review
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• v.26 no.1
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• pp.41-47
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• 2024

The ultimate goal of career guidance is to help medical students develop a career plan that matches their personal characteristics, allows them to train in their desired subspecialty, and helps them to adapt well to medical practice after graduation. Gachon Medical School has designed a longitudinal career guidance program called GLORI (Gachon Longitudinal Orientation and Career Development), which is based on the outcome of each phase. The program consists of regular courses and portfolio-based career guidance from a mentor professor. In phase 2 (basic medical science), the "Career Seminar" course was developed. This course focuses on self-understanding through a psychological inventory, exploration of postgraduate career paths, and interviews with professors in specialties of interest. In phase 3 (the integration of basic and clinical science), the "Exploring Nonclinical Career Options" course was introduced. This course presents perspectives from doctors who have followed various pioneering career trajectories, including biomedical engineering, medical journalism, writing, public health, health care administration, the pharmaceutical and medical device industries, and other areas. All teaching methods were designed to encourage student participation. The assessment methods are assignment-based, including self-reflective reports and presentations. In addition, a portfolio-based career guidance program is implemented in phases 3 and 4 (clinical clerkship). It is expected that this case study will serve as a practical example for developing comprehensive career guidance programs for medical schools.

• Korean Journal of Applied Biomechanics
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• v.28 no.1
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• pp.1-8
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• 2018

Objective: The purpose of this study is to investigate the differences in biomechanical variables of golf driving motion according to gender. Method: A total of 21 healthy golfers (11 men and 10 women) who have more than 5 years of professional experience and have been registered in the Korea Golf Association was recruited. A 250-Hz 8-camera motion capture system (MX-T20, Vicon, LA, USA) was used to capture the motion trajectories of a total of 42 reflective markers attached to the golfer's body and club. Moreover, two 1,000-Hz AMTI force plates (AMTI OR6-7-400, AMTI, MA, USA) were used to measure the ground reaction force. The mean and standard deviation for each parameter were then calculated for both groups of 21 subjects. SPSS Windows version 23.0 was used for statistical analysis. The independent t-test was used to determine the differences between groups. An alpha level of .05 was utilized in all tests. Results: There were differences in joint angles according to gender during golf driver swing. Men showed a statistically significantly higher peak joint angle and maximum range of angle in sagittal and frontal axis of the pelvis, hip, and knee. Moreover, women's swing of the pelvis and hips was found to have a pattern using the peak joint angle and range of angle in the vertical axis of the pelvis and hip. There were the differences in peak joint moment according to gender during golf driver swing. Men used higher joint moment in the downswing phase than women in the extensor, abductor, and external rotator muscles of the right hip; flexor and adductor muscles of left hip joint; and flexor and extensor muscles of the right knee. Conclusion: This result reveals that male golfers conducted driver swing using stronger force of the lower body and ground reaction force based on strength of hip and thigh than female golfers.