• Journal of Korean Society of Rural Planning
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• v.30 no.3
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• pp.37-53
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• 2024

The purpose of this study is to analyze the effectiveness of an agriculture and rural development ODA project in southern Nepal's Terai region to improve food security, and to suggest appropriate project approaches to improve food security. The subject of the analysis is the KOICA-funded 'Inclusive Rural Development project', and a framework for analyzing food security was established based on the FAO's four pillars of food security, and indicators were proposed to measure the food security of project farmers. The data for this study were obtained from a survey of project beneficiary farmers and their control group, and the effects of the project on food security were measured using a a t-test analysis, difference-in-difference analysis, propensity score matching-linear regression combined model (PSM-OLS) and a propensity score matching-difference-in-difference combined model(PSM-DID). The results showed that, in general, the ODA project treatment group had significant improvements in each of the four pillars of food security (food availability, access, utilization, and stability). In addition, cooperative membership had a positive impact on food security improvements, and there were also differences in outcomes among different ethnic groups in the Terai region. The implications of this study are that the Korean government's ODA policy should set aside the food security sector and incorporate food security indicators to contribute to the improvement of food security in ODA partner countries, and that agricultural and rural development ODA projects should include food security indicators as performance indicators in their pre-planning to contribute to securing food security for vulnerable groups as food insecurity is higher among vulnerable groups.

• Hip & pelvis
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• v.34 no.2
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• pp.96-105
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• 2022

Purpose: Use of dual mobility (DM) articulations can reduce the risk of instability in both primary and revision total hip arthroplasty (THA). Knowledge regarding the impact of this design on patient-reported outcome measures (PROMs) is limited. This study aims to compare clinical outcomes between DM and fixed bearing (FB) prostheses following primary THA. Materials and Methods: All patients who underwent primary THA between 2011-2021 were reviewed retrospectively. Patients were separated into three cohorts: FB vs monoblock-D vs modular-DM. An evaluation of PROMs including HOOS, JR, and FJS-12, as well as discharge-disposition, 90-day readmissions, and revisions rates was performed. Propensity-score matching was performed to limit significant demographic differences, while ANOVA and chi-squared test were used for comparison of outcomes. Results: Of the 15,184 patients identified, 14,652 patients (96.5%) had a FB, 185 patients (1.2%) had a monoblock-DM, and 347 patients (2.3%) had a modular-DM prosthesis. After propensity-score matching, a total of 447 patients were matched comparison. There was no statistical difference in the 90-day readmission (P=0.584), revision rate (P=0.265), and 90-day readmission (P=0.365) and revision rate due to dislocation (P=0.365) between the cohorts. Discharge disposition was also non-significant (P=0.124). There was no statistical difference in FJS-12 scores at 3-months (P=0.820), 1-year (P=0.982), and 2-years (P=0.608) between the groups. Conclusion: DM bearings yield PROMs similar to those of FB implants in patients undergoing primary THA. Although DM implants are utilized more often in patients at higher-risk for instability, we suggest that similar patient satisfaction may be attained while achieving similar dislocation rates.

• The Korean journal of internal medicine
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• v.39 no.2
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• pp.306-317
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• 2024

Background/Aims: To determine whether metformin, which is considered a host-directed therapy for tuberculosis (TB), is effective in improving the prognosis of patients with TB and diabetes mellitus (DM), who have higher mortality than those without DM. Methods: This cohort study included patients who were registered as having TB in the National Tuberculosis Surveillance System. The medical and death records of matched patients were obtained from the National Health Information Database and Statistics Korea, respectively, and data from 2011 to 2017 were collected retrospectively. We classified patients according to metformin use among participants who used diabetes drugs for more than 28 days. The primary outcome was all-cause mortality during TB treatment. Double propensity score adjustment was applied to reduce the effects of confounding and multivariable Cox proportional hazard models were used to estimate adjusted hazard ratio (aHR) with 95% confidence interval (CI). Results: The all-cause mortality rate during TB treatment was lower (9.5% vs. 12.4%, p < 0.01) in the metformin user group. The hazard of death due to all causes after double propensity score adjustment was also lower in the metformin user group (aHR 0.76, 95% CI 0.67-0.86, p < 0.01). There was no significant difference in mortality between metformin users and non-users for TB-related deaths (p = 0.22); however, there was a significant difference in the non-TB-related deaths (p < 0.01). Conclusions: Metformin use in patients with TB-DM co-prevalence is associated with reduced all-cause mortality, suggesting the potential for metformin adjuvant therapy in these patients.

• Journal of Cerebrovascular and Endovascular Neurosurgery
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• v.25 no.4
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• pp.380-389
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• 2023

Objective: Middle meningeal artery embolization (MMAe) has burgeoned as a treatment for chronic subdural hematoma (cSDH). This study evaluates the safety and short-term outcomes of MMAe patients relative to traditional treatment approaches. Methods: In this retrospective large database study, adult patients in the National Inpatient Sample from 2012-2019 with a diagnosis of cSDH were identified. Cost of admission, length of stay (LOS), discharge disposition, and complications were analyzed. Propensity score matching (PSM) was utilized. Results: A total of 123,350 patients with cSDH were identified: 63,450 without intervention, 59,435 surgery only, 295 MMAe only, and 170 surgery plus MMAe. On PSM analysis, MMAe did not increase the risk of inpatient complications or prolong the length of stay compared to conservative management (p>0.05); MMAe had higher cost ($31,170 vs. $10,768, p<0.001) than conservative management, and a lower rate of nonroutine discharge (53.8% vs. 64.3%, p=0.024). Compared to surgery, MMAe had shorter LOS (5 vs. 7 days, p<0.001), and lower rates of neurological complications (2.7% vs. 7.1%, p=0.029) and nonroutine discharge (53.8% vs. 71.7%, p<0.001). There was no significant difference in cost (p>0.05). Conclusions: MMAe had similar LOS and decreased odds of adverse discharge with a modest cost increase compared to conservative management. There was no difference in inpatient complications. Compared to surgery, MMAe treatment was associated with decreased LOS and rates of neurological complications and nonroutine discharge. This nationwide analysis supports the safety of MMAe to treat cSDH.

• Journal of Gifted/Talented Education
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• v.24 no.6
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• pp.961-974
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• 2014

We analyzed the relationship between the brain Dominance and the scientific creative problem solving utilizing propensity to target Science-Gifted Student (n=159). Brain dominance is divided into left upper brain (LUB), left lower brain (LLB), right lower brain (RLB), and right upper brain (RUB). Creative problem solving skill in science included validity, scientific characteristics, sophistication, originality, and fluency. Analysis of the results of this study showed a high frequency among the four types of the brain dominance is the highest score of LUB in science gifted group. This point was found that the tendency of the analytical and critical thinking that is characteristic of the LUB is strong scientific gifted group. When total sample was divided into high and low groups by scientific creative problem solving scores, in the analysis of the brain dominance score difference between the two groups of students who take advantage of the results of score RUB is compared to the high fluency group score higher than the low group found (p<0.05). The analysis of the correlation between brain dominance and scientific creative problem solving showed that originality and fluency had statistically significant correlation with RUB propensity score (p<0.05). This result suggests that the imaginative and challenging RUB propensity may be related to produce many and original ideas in scientific creative problem solving.

• Journal of the Korean Society of Earth Science Education
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• v.9 no.3
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• pp.276-291
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• 2016

This study is to develop a valid and reliable instrument for measuring students' creative engineering problem solving propensity. The creative engineering problem solving is operationally defined in this study as a creative problem solving skill in an engineering context. To develop the instrument, first we define seven common constructs between engineering problem solving skill and creative problem solving skill through an intensive literature review; motivation, context, personal character, engineering design, engienering habits of mind, understandings of engineering and engineers, communication skill, and collaboration skill. Based on the seven constructs and the face validity test conducted by two in-service science teachers and 4 experts in science education research, 40 preliminary items were developed. Then the preliminary instrument was implemented in a science gifted highschool to measure the reliability of the instrument. From the 40 items, 34 items were selected through the initial reliability test by Cronbach's ${\alpha}$(>.75). Finally through the three times of factor analysis process, 28 items in five construct categories were selected; motivation (3 items), engineering design (6 items), engineering habits of mind (9 items), understandings of engineering and engineers (4 items), communication and collaboration skill (6 items). The factor analysis result showed that the reliability of each construct category was between .733 to .892., meaning that the instrument is reliable in terms of the higher structural validity (each item is categorized in an appropriate construct category). We expect that the creative engineering problem solving propensity instrument developed in this study can be used in various contexts for STEAM education research as a reliable and valid instrument.

• Asia-Pacific Journal of Business Venturing and Entrepreneurship
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• v.13 no.6
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• pp.75-87
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• 2018

This study is to identify the structural relationships among undergraduates' individual characteristics(need for achievement, risk-taking propensity), startup education, startup-relevant knowledge and the entrepreneurial intentions. The mediating variables examined were startup education and startup-relevant knowledge. In results, the higher need for achievement the undergraduates get, as the individual characteristics of college students, the more active the entrepreneurial education is to receive. Students with a risk-taking propensity have a positive influence on their knowledge of entrepreneurship and expect to acquire any knowledge of entrepreneurship even if they are not actively receiving entrepreneurial education. However, risk-taking propensity showed that entrepreneurship education and need for achievement had no effect on entrepreneurial knowledge. On the other hand, entrepreneurship education itself shows that it can be a driving force to promote entrepreneurship. In addition, since entrepreneurship education positively affects the entrepreneurial will with the knowledge of entrepreneurship as a parameter, it is necessary for the students to increase entrepreneurial will by getting entrepreneurship education and improving the knowledge about entrepreneurship. In order to do this, the school should formalize regular business start-up education and acquire business startup-relevant knowledge. Therefore, although the individual characteristics of college students influence the will to start a business, it is necessary to find out the will and opportunity of the startup by implementing and acquiring the startup education and startup-relevant knowledge. In this study, some of the universities in the specific area have been studying on the startup education. However, the future study should be conducted on the schools that have startup education nationwide.

• 한국사회정책
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• v.19 no.3
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• pp.85-117
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• 2012

This study attempts to examine the relationship between giving & volunteering behavior and charitable bequest intention. For the examination, this study used '2011 Korean National Social Survey' that was randomly sampled from the population of Korean in 2011. In examining the relationship, this study employed the method of Propensity Score Matching that permits the comparisons between experimental group and control group. In this study, the experimental groups consist of six different combinations of philanthropic behaviors as follows: donating only; volunteering only; participating both; regular donating only; regular volunteering only; and doing both regularly. The results show that all the types of philanthropic behaviors have statistically significant positive effect on charitable bequest intention. First, more active philanthropic behavior such as regular behavior causes higher charitable bequest intention. Second, those who participate in both philanthropic behaviors (combined behavior of donating and volunteering) have stronger effect on charitable bequest intention in comparison to participating only one philanthropic behavior (either donating or volunteering). Third, giving have relatively stronger relationship with charitable bequest intention than volunteering. Throughout more careful examination of the causal relationship from philanthropic behavior to charitable bequest intention, this study provides new understanding on the effect of daily philanthropic behavior on charitable bequest and practical implication to nurture charitable bequest. Indeed, this study contributes to building a knowledge foundation for future research on charitable bequest.

• Journal of the Korean earth science society
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• v.44 no.1
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• pp.79-89
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• 2023

The purpose of this study was to investigate the effects of engineering design-based ocean cleanup classes on STEAM attitudes and creative engineering problem-solving dispositions. Furthermore, during this process, we tried to determine interesting points that students encountered in engineering design-based classes. For this study, a science class with six lessons based on engineering design was developed and reviewed by a professor who majored in engineering design, along with five engineering design experts with a master's degree or higher. The subject of the class was selected as the design and implementation of scientific and engineering measures to reduce marine pollution based on the method implemented in an actual Ocean Clean-up Project. The engineering design process utilized the engineering design model presented by NGSS (2013), and was configured to experience redesign through the optimization process. To verify effectiveness, the STEAM attitude questionnaire developed by Park et al. (2019) and the creative engineering problemsolving propensity test tool developed by Kang and Nam (2016) were used. A pre and post t-test was used for statistical analysis for the effectiveness test. In addition, the contents of interesting points experienced by the learners were transcribed after receiving descriptive responses, and were analyzed and visualized through degree centrality analysis. Results confirmed that engineering design in science classes had a positive effect on both STEAM attitude and creative engineering problem-solving disposition (p< .05). In addition, as a result of unstructured data analysis, science and engineering knowledge, engineering experience, and cooperation and collaboration appeared as factors in which learners were interested in learning, confirming that engineering experience was the main factor.

• Journal of Families and Better Life
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• v.28 no.5
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• pp.113-129
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• 2010

This study explored the level and general propensity of the economic distress and the financial management behavior of household financial managers and analyzes the effects of economic distress and the sub dimensions to financial management behaviors. The research results can be summarized as follows. 1. The overall level of economic distress of household financial managers was middle-levels and the financial management behavior were slightly higher than mid-point. 2. Regarding the household variables on the economic distress of household financial managers, education levels and occupations of husbands, monthly income, financial knowledge were the variables that had a significant negative effect on the economic distress. That is, higher education levels of husbands, husbands with management-level/professional-level career, higher monthly income, and higher level of financial knowledge generated lower economic distress. 3. Regarding the household variables and the economic distress on the financial management behavior, monthly income, and financial knowledge were the variables that had a significant positive effect on the financial management behavior. On the contrary, income-asset distress was negative variable. Thus, higher monthly income, higher level of financial knowledge, and lower level of economic distress generated higher financial management behavior. Statistically significant differences were detected in financial management behavior sub dimensions. From this research, it could be concluded that the main variables affecting the level of financial management behaviors are income-asset distresses and financial knowledge.