• Journal of Korean Academy of Nursing
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• v.45 no.5
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• pp.694-703
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• 2015

Purpose: This study was a prospective longitudinal study to identify changes in quality of life in patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). It was based on Roy's adaptation model. Methods: The questionnaires were administered before HSCT, 30 and 100 days after HSCT. Of the 48 potentially eligible patients, 44 (91.7%) participated in the study and 40 (90.9%) completed the questionnaires at 100 days after HSCT. Multilevel analysis was applied to analyze changes in quality of life. Results: Overall, quality of life showed a decreasing tendency from pre-HSCT to 100 days after HSCT. The adaptation level of participants was compensatory. Type of conditioning was the significant factor influencing quality of life before HSCT (${\beta}_{00}$=79.92, p <.001; ${\beta}_{01}$= - 12.64, p <.001) and the change rate of quality of life (${\beta}_{10}$= - 1.66, p =.020; ${\beta}_{11}$=2.88, p =.014). Symptom severity (${\beta}_{20}$= - 1.81, p =.004), depression (${\beta}_{30}$= - 0.58, p =.001), social dependency (${\beta}_{40}$= - 0.35, p =.165), and loneliness (${\beta}_{50}$= - 0.23, p =.065) had a negative effect on changes in quality of life. Symptom severity and depression were statistically significant factors influencing changes in quality of life. Conclusion: According to the results of this study, the development of nursing intervention is needed to improve quality of life in patients undergoing allogeneic hematopoietic stem cell transplantation in the early immune reconstruction period. The interventions should include programs to enhance coping capacity and programs to help control symptom severity and depression. Also these interventions need to be started from the beginning of HSCT and a multidisciplinary approach would be helpful.

• Korean Journal of Health Education and Promotion
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• v.21 no.4
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• pp.75-97
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• 2004

Objectives: To examine whether the socioeconomic characteristics of communities (contextual effects) are related to the self-rated health of community residents after controlling individual characteristics (compositional effects). Methods: A linked data set including information on individuals from raw data of 1998 Korean National Health and Nutrition Survey(KNHNS) and information on the regions where the individuals lived from the socioeconomic statistical indices of Si-Gun-Gu (city-county-ward) in 1998 was established. The contextual factors of communities were generated from these socioeconomic indices through factor analysis. The contextual effects of community over and above the individual characteristics on the self-rated health were investigated using multilevel analysis. Results: The contextual factors of the community expressed as the factor scores have influence on the self-rated health of their residents above the compositional factors. When the communities were categorized into 5 groups (highest, high, middle, low, lowest) according to each of their factor scores, for factor 1 reflecting urbanization reversely, the residents of the communities that had the high, middle, and low factor scores showed significantly poor subjective health status than the residents of the lowest (most urbanized) group. For factor 2 reflecting community services and health resources, the subjective health status of the residents gradually became poorer when the group went from the highest to the lowest, and the low and lowest groups showed a significant difference. For factor 3 reflecting the manufacturing industry, as compared with the communities that have the highest factor scores, the other 4 groups showed significantly poorer subjective health status. And for factor 4 reflecting the scale of the regional government, as compared with the middle group, the rest of the 4 groups showed significantly better self-rated health. Conclusions: There existed regional contextual effects on their residents' health in Korean adults. To make policies tackling these contextual effects possible, more elaborate researches to find more specific factors and to explain the mechanisms of how health is influenced by the contextual factors are needed.

• Korean Journal of Health Education and Promotion
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• v.33 no.3
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• pp.95-107
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• 2016

Objectives: Physical activity is well known as one of the most effective health behaviors for maintaining and promoting health. The purpose of this study was to investigate the regional variation, compositional and contextual factors on physical activities in Korea. Methods: This study analyzed data of 6,353 adults in 4th-1, 2 Korea National Health and Nutrition Examination Survey (KNHANES). Independent variables were compositional factors that included general characteristics, health behaviors, health status, and contextual factors that included physical environment, political environment, and social safety net. Dependent variables were vigorous physical activity, moderate physical activity, and walking activity. Multilevel analysis were used to determine a variation of physical activity between levels of compositional factors and contextual factors. Results: Physical activities of the Korean people were affected by the regional variables. Financial independence and population density were related with moderate physical activity significantly. Population density, school sport or rally spaces, cultural facilities, and social safety concerns were related with walking activity significantly. These variables impacted on physical activities along with variables at the individual level. Variance Partition Coefficient were 9.94% at moderate physical activity and 2.91% at walking activities, respectively. Conclusions: The results suggest that the regional variables should be considered when planning public intervention to promoting physical activities in Korean adults.

• Journal of agricultural medicine and community health
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• v.47 no.4
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• pp.268-274
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• 2022

Objectives: The purpose of this study was to identify the individual and regional risk factors on depression using community-based data in Jeollabuk-do. Methods: This cross-sectional study obtained data from the Community Health Survey 2018 in Jeollabuk-do. The dependent variable was depression measured by Patient Health Questionnaire-9 (PHQ-9). The prevalence of depression was defined if total score of PHQ-9 was 10 or higher. A multilevel analysis was conducted to consider individual and regional level independent variables that could be risk factors for depression. Results: In the individual level, female gender and smokers had significantly higher odds ratios (ORs) for depression of 1.58 and 1.72, respectively. Subjects with economic activity, higher income and higher education had significantly lower ORs of 0.53, 0.41 and 0.66. In the regional level, higher greening rates and lower levels of PM2.5 had statistically lower ORs at the significance level of 10%. Conclusion: By conducting this study, risk factors associated with depression were identified in individual- and regional-level. This study suggests that health projects are needed to control regional level risk factors including community networks for mental health management in addition to the traditional individual level risk factors.

• Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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• v.7 no.7
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• pp.599-608
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• 2017

This study investigated factors that are associated with companion animal ownership among urban elderly persons. This study was based on data from 2014 Seoul Survey, and a total of 4,717 people aged 60 years or older were selected for the analyses. Community level data were from 2014 Seoul statistics and they included park area per person, number of elderly recreational facilities, and number of public sports facilities based on 25 districts of Seoul Metropolitan City. This study examined differences between companion animal owners and non-owners concerning individual level factors and community level factors. Factors that are associated with companion animal ownership were examined using multilevel logistic regression analysis. Among individual level variables, companion animal ownership was associated with gender, marital status, income, number of household members, and housing type. Among community level variables, park area per person was a significant factor that is associated with companion animal ownership. Study findings can be used Based on study findings, implications of the study and directions for future research are discussed.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2013.05a
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• pp.267-268
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• 2013

• Advances in aircraft and spacecraft science
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• v.4 no.4
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• pp.467-486
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• 2017

A method for decoupling reliability based design optimization problem into a set of deterministic optimization and performing a reliability analysis is described. The inner reliability analysis and the outer optimization are performed separately in a sequential manner. Since the outer optimizer must perform a large number of iterations to find the optimized shape and size of structure, the computational cost is very high. Therefore, during the course of this research, new multilevel reliability optimization methods are developed that divide the design domain into two sub-spaces to be employed in an iterative procedure: one of the shape design variables, and the other of the size design variables. In each iteration, the probability constraints are converted into equivalent deterministic constraints using reliability analysis and then implemented in the deterministic optimization problem. The framework is first tested on a short column with cross-sectional properties as design variables, the applied loads and the yield stress as random variables. In addition, two cases of curvilinearly stiffened panels subjected to uniform shear and compression in-plane loads, and two cases of curvilinearly stiffened panels subjected to shear and compression loads that vary in linear and quadratic manner are presented.

• Information Systems Review
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• v.22 no.4
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• pp.115-134
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• 2020

Previous studies on willingness to pay for digital content have mainly focused on audience factors and individual level. To complement the limitation of previous research, this study conducts a multilevel analysis to find the factors influence digital content purchases considering two axes: audience/media factors and individual/household levels. Using a sample of 10,172 individuals within 4,313 households, the analysis results show individual media factors including theater-going, experience with cloud services, and multi-screen service usage have the greatest effects on digital content purchases. At the household level, the media ownership factors that the number of laptops, wireless routers, and tablets have a greater influence than audience factors such as household size or household income. Our findings help scholars to enhance the understanding of individuals' media use considering household environmental factors and shed light on the importance of multi-screen service usage, and content providers to improve their digital content sales using multi-screen environment.

• Journal of the Korean Society for Precision Engineering
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• v.15 no.1
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• pp.130-136
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• 1998

A procedure of stress and strength analysis has been proposed for the centrifuge rotor of composite materials of quasi-isotropic laminates. The goal in this study is to maximize the allowable rotating speed, that is, to minimize maximum strength ratio with the given path length by changing the geometric parameter-outer radius and ply angles in quasi-isotropic laminates. Optimum values of the geometric parameter-outer radius and ply angles are obtained by multilevel optimization. All the geometric dimensions and stresses are normalized such that the result can be extended to a general case. Two dimensional analysis at each cross section with an elliptic tube hole subjected to internal hydrostatic pressures by samples as well as the centrifugal body forces has been performed along the height to calculate the stress distribution with the plane stress assumption, and Tsai-Wu failure criterion is used to calculate the strength ratio. The maximum allowable rotating speed can be increased by changing the radii of the outer surface along the height with the maximum strength ratio under the unit value : The optimal number of ply angles maximizing the allowable rotating speed in quasi-isotropic laminates is found to be the half number of tube hole, and the optimal laminate rotation angle is the half of $[{\pi}/m]$. A $[{\pi}/3]$ laminate, for instance, is stronger than a $[{\pi}/4]$ laminate for the centrifuge rotor of 6 tube hole number even though they have the same stiffness.

• Journal of Electrical Engineering and Technology
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• v.13 no.2
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• pp.688-698
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• 2018

Quasi Z-Source Multilevel Inverter (QZMLI) topology has attracted grid connected Photovoltaic (PV) systems in recent days. So there is a remarkable research thrust in switching techniques and control strategies of QZMLI. This paper presents the mathematical analysis of Phase shift- Pulse Width Amplitude Modulation (PS-PWAM) for QZMLI and emphasizes on the advantages of the technique. The proposed technique uses the maximum and minimum envelopes of the reference waves for generation of pulses and proportion of it to generate shoot-through pulses. Hence, it results in maximum utilization of input voltage, lesser switching loss, reduced Total Harmonic Distortion (THD) of the output voltage, reduced inductor current ripple and capacitor voltage ripple. Due to these qualities, the QZMLI with PS-PWAM emerges to be the best suitable for PV based grid connected applications compared to Phase shift-Pulse Width Modulation (PS-PWM). The detailed math analysis of the proposed technique has been disclosed. Simulation has been performed for the proposed technique using MATLAB/Simulink. A prototype has been built to validate the results for which the pulses were generated using FPGA /SPARTAN 3E.