Ah-hae Cho;Jihun Seo;Jungwoo Cho;Sunghoon Kim;Youngho Kim
The Journal of The Korea Institute of Intelligent Transport Systems
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v.22
no.4
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pp.145-166
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2023
The ongoing COVID-19 pandemic has led to a widespread shift towards non-face-to-face/uncrewed services in various sectors of society. Despite this, research on the digital divide has focused predominantly on analyzing various factors, with the notable absence of studies addressing the digital divide. Therefore, study examined the current digital divide in the transportation sector through a survey-based approach. First, a nationwide survey was conducted among adult men and women to assess their digital device usage. Vulnerable groups sesceptible to digital disparities were identified based on factors such as age, education, and income. Second, comparative analysis was conducted to examine the usage patterns of mobile applications related to the transportation sector among the vulnerable and non-vulnerable groups using chi-squared test. These findings suggest that the vulnerable group exhibited lower awareness and preference for mobile applications, a significantly lower frequency of application usage than the non-vulnerable group. Finally, a comparison of the proficiency in utilizing transportation sector mobile applications was conducted, showing that the vulnerable group demonstrated a significantly lower level of proficiency across all aspects of application usage procedures compared to the non-vulnerable group. These survey results provide a valuable foundation for future policy formulation to reduce the digital divide in the transportation sector. By highlighting the current state of digital disparities, the research contributes to developing evidence-based strategies to enhance inclusivity and equal access to digital services in tjwtransportation.
The purpose of this research is to investigate adult's perception of elderly parents care and differences of related variables between family structures. There were 1,258 participants(age 45; male=601, female=657; 1,111=nuclear, 147=extended). The measures yielded Cronbach α=.67~.95, inter-judger reliability= 95.1%, Kappa=.95. The results showed that, first, there were no significant differences between two family structures in terms of SES excepting academic career. Second, there were significant differences between two family structures in family relation, psychological characteristics. That is, adults in the extended family, versus those in the nuclear family, provide greater emotional support to children, sacrificed more towards children, and have greater expectations for children supporting them when they retire. Also, adults in the extended family displayed greater self-efficacy and happiness. Third, there were significant differences between two family structures in caring for elderly parents. Adults in the extended family apportioned a greater parent's allowance, and more number of meals with parents, and spent more time talking with parents, and displayed greater degree of filial piety and more caring behavior towards parents. Fourth, as for the perception of caring for elderly parents according to family structure, when adults were asked about "the best way to care for parents", the most frequent response was providing a peace-of-mind for parents. As for "the most difficult aspect of caring for parents", differences in opinions followed by financial difficulty were the most. As for "the best aspects of caring for parents", the most frequent responses were good for children's upbringing and family harmony. Based on the results, suggestions for further research have been discussed.
Young-Shin Park;Ja-Young Ahn;In-Soon Nam;Hyo-Sook Yu;Yeoung-Nam Lee;Yeon-Sil Cha
Korean Journal of Culture and Social Issue
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v.24
no.2
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pp.153-192
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2018
The main purpose of this research is to investigate the effect of Korean adults' perception of parent-child relation on their self-efficacy, child rearing practices, elderly parent care practices, and happiness. In this study the parent-child relation is a relationship between the adults' parents and the adults. The participants in the study were adults (2,632; male=1,275, female=1,357) with children in primary, secondary, and/or university, with an average age of 45.44-years-old (male=46.96-years-old, female=44.10-years-old). The results showed a direct influence of the adults' perception of parent-child relation on their self-efficacy and their child rearing practices, and an indirect influence on their happiness. This indicates that a more positive adult's perception of parent-child relation leads to higher self-efficacy and greater devotion to their child rearing practices. And furthermore, an elevated self-efficacy enhanced their happiness. Gender differences were found for the influence of adults' perception of parent-child relation on elderly parent care practices. For Korean male adults, a more positive perception of parent-child relation lead to a more active participation in elderly parent care practices. However, for Korean female adults no direct influence was found. Based on these results, a discussion of the influence of adults' perception of parent-child relation on the adults' psychological characteristics and family-members relationships is provided.
Objectives: The study aim was to identify changes in the nutritional status of older adults during the COVID-19 pandemic according to household income and demographic characteristics. Methods: Study participants were 2,408 adults aged 65 and over who participated in the 2019-2020 Korea National Health and Nutrition Examination Survey (KNHANES). To examine changes in nutrient intake levels resulting from COVID-19, data of 2019 and of 2020 were compared. Study participants were divided into three groups based on household income level to compare these changes. The changes were compared according to household income level, age group, and household type. Results: Percentages of recommended intakes for energy, protein, and most micronutrients were the lowest for the low-income group of both males and females in 2020. The Mean Adequacy Ratio (MAR) score was the lowest for the low-income group in both years. When comparing nutrient density for 2019 and 2020 by income group, the male low-income group experienced a decrease in nutrient densities of vitamin A, thiamine, calcium, and iron. For the same group, a decreased percentage for energy intake from protein was noted. Fruit intake was lowest in the low-income group for both males and females. Low-income males had the lowest intake levels for meat, fish, eggs, and legumes in both 2019 and 2020 and the lowest milk and milk product intake levels in 2020. Older adults living alone or single older adults with children had lower MAR scores than those living with a spouse. Older adults living alone experienced decreases in energy and thiamine and iron intake levels in 2020 compared to their intake levels in 2019. Conclusions: Because of the COVID-19 pandemic, nutrition intake levels worsened for older adult males in the low-income group and older adults living alone. This finding shows the need for a more systematic nutritional support strategy for the vulnerable older adults population in national disaster situations.
Juni Song;Yang Bin Jeon;Jae Ho Jang;Jin Seong Cho;Jae Yeon Choi;Woo Sung Choi
Journal of Trauma and Injury
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v.36
no.1
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pp.32-38
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2023
Purpose: This study aimed to identify the characteristics of patients injured by high-rotation cutting tools and the factors related to the severity of their injuries. Methods: Adult patients (≥18 years), who presented to the emergency department (ED) after a high-rotation cutting tool injury and who were registered in the Korean Emergency Department-based Injury In-Depth Surveillance (2011-2018) database, were included. Patients' demographic characteristics, injury-related factors, and Injury Severity Scores were collected. All included cases were categorized into two groups according to the tool that caused the injury: grinder versus nongrinder. The characteristics of the two groups were compared, and the factors associated with the severity of injuries were investigated. Results: Among 8,697 ED visits, 4,603 patients had been using a grinder and 4,094 had been using a nongrinder tool. The most frequently injured body part while using a grinder was the hand (46.4%), followed by the head (23.0%). While using a nongrinder tool, the most frequently injured body part was also the hand (64.0%), followed by the lower leg (11.4%). The odds of a severe injury were affected by patient age (odds ratio [OR], 1.024; 95% confidence interval [CI], 1.020-1.028) and using a grinder (OR, 2.073; 95% CI, 1.877-2.290). The odds of a severe injury using a grinder were higher in arm injuries (OR, 1.60; 95% CI, 1.40-1.83) and multiple-part injuries (OR, 1.998; 95% CI, 1.639-2.437). The odds of a severe injury using a grinder were lower for head injuries (OR, 0.481; 95% CI, 0.297-0.781). Conclusions: Injuries from grinders were more likely to affect the head and neck than nongrinder injuries, despite the lower severity. The current lack of regulations on grinders in occupational safety and health standards warrants relevant legislation and the development of applicable safety equipment.
This study empirically analyzed the effect of perceived injustice on service recovery measures proposed by online food delivery service (OFDS) companies on consumer disappointment. This study adopted interaction justice, information justice, procedural justice, and distributive justice as sub-variables of justice perception based on the justice theory. In addition, the differences by generation (MZ generation and other generations) were examined in the relationship between negative word-of-mouth behavior and switching intentions due to service recovery failure. An online survey was conducted targeting 250 adult consumers in the U.S for the empirical analysis of this research model. The results of the data analysis demonstrated that negative perceptions about the procedural justice and distributive justice among the service recovery strategies had a positive effect upon the consumer's disappointment. Furthermore, it was confirmed that the consumer's disappointment due to the perceived injustice of the service recovery strategy had a positive effect on the consumer's negative word-of-mouth behavior and switching intentions. The verification results of the moderation effect in the relationship between negative word-of-mouth behavior and switching intention, it was found that the younger the age(MZ generation), the higher the possibility of causing dysfunctional behavior. This study expands the scope of related research by presenting a new perspective on the justice perception in the service recovery process by verifying dysfunctional behavior of consumers caused due to the failure of the service recovery strategy. It is believed that the results of this study will be used as basic data for the establishment of practical strategies for OFDS companies to prevent double defection of their customers.
Objective : To evaluate the surgical outcomes of partial pedicle subtraction osteotomy (PPSO) in patients with thoracolumbar fractures and compare the outcomes of PPSO for burst fractures with those for posttraumatic kyphosis (PTK). Methods : From June 2013 to May 2019, 20 consecutive adult patients underwent PPSO for thoracolumbar fractures at the levels of T10 to L2. Of these patients, 10 underwent surgery for acute fractures (burst fractures), and 10 for sequelae of thoracolumbar fractures (PTK). Outcomes of PPSO were evaluated and compared between the groups. Results : Twenty patients (each 10 patients of burst fractures and PTK) with a mean age of 64.7±11.1 years were included. The mean follow-up period was 21.8±11.0 months. The mean correction of the thoracolumbar angle was -34.9°±18.1° (from 37.8°±20.5°preoperatively to 2.8°±15.2° postoperatively). The mean angular correction at the PPSO site was -38.4°±13.6° (from 35.5°±13.6° preoperatively to -2.9°±14.1° postoperatively). The mean preoperative sagittal vertical axis was 93.5±6.7 cm, which was improved to 37.6±35.0 cm postoperatively. The mean preoperative kyphotic angle at the PPSO site was significant greater in patients with PTK (44.8°±7.2°) than in patients with burst fractures (26.2°±12.2°, p=0.00). However, the mean postoperative PPSO angle did not differ between the two groups (-5.9°±15.7° in patients with burst fractures and 0.2°±12.4° in those with PTK, p=0.28). The mean angular correction at the PPSO site was significantly greater in patients with PTK (-44.6°±10.7°) than in those with burst fractures (-32.1°±13.7°, p=0.04). The mean operation time was 188.1±37.6 minutes, and the mean amount of surgical bleeding was 1030.0±533.2 mL. There were seven cases of perioperative complications occurred in five patients (25%), including one case (5%) of neurological deficit. The operation time, surgical bleeding, and complication rates did not differ between groups. Conclusion : In cases of burst fracture, PPSO provided enough spinal cord decompression without corpectomy and produced sagittal correction superior to that achieved with corpectomy. In case of PTK, PPSO achieved satisfactory curve correction comparable to that achieved with conventional PSO, with less surgical time, less blood loss, and lower complication rates. PPSO could be a viable surgical option for both burst fractures and PTK.
This research is a descriptive study that aimed to identify the health knowledge related stroke, optimistic bias, and social support of middle-aged adults and the effect these had on their health-promoting lifestyle This study was conducted by collecting 220 adults aged between 40 to 60 years from C City D city and K city. Data were analyzed using descriptive analysis, ANOVA, t-test, Pearson's correlation coefficients and multiple regression with the SPSS 23.0 program. The average health-promoting lifestyle was 44.27 points. The health-promoting lifestyle of the study participants showed a positive correlation between the optimistic bias(r=.18, p=.001) and social support(r= .61, p<.000). According to the results of multiple regression analysis, perception of Necessity for Stroke Education(β=.12, p=.010), optimistic bias(β=.18, p=.040), and social support(β=.48, p<.000) were shown to be significant factors that affected the health-promoting lifestyle of the participants. These variables explained 38.5%. Therefore, an health education program to improve the health-promoting lifestyle related to stroke in adults should be considered as a way to enhance social support and reduce optimistic bias.
Jae Beom Jeon;Cho Hee Lee;Yongwhan Lim;Min-Chul Kim;Hwa Jin Cho;Do Wan Kim;Kyo Seon Lee;In Seok Jeong
Journal of Chest Surgery
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v.56
no.4
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pp.244-251
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2023
Background: Extracorporeal membrane oxygenation (ECMO) has been widely used in patients with cardiorespiratory failure. The serum albumin level is an important prognostic marker in critically ill patients. We evaluated the efficacy of using pre-ECMO serum albumin levels to predict 30-day mortality in patients with cardiogenic shock (CS) who underwent venoarterial (VA) ECMO. Methods: We reviewed the medical records of 114 adult patients who underwent VA-ECMO between March 2021 and September 2022. The patients were divided into survivors and non-survivors. Clinical data before and during ECMO were compared. Results: Patients' mean age was 67.8±13.6 years, and 36 (31.6%) were female. The proportion of survival to discharge was 48.6% (n=56). Cox regression analysis showed that the pre-ECMO albumin level independently predicted 30-day mortality (hazard ratio, 0.25; 95% confidence interval [CI], 0.11-0.59; p=0.002). The area under the receiver operating characteristic curve of albumin levels (pre-ECMO) was 0.73 (standard error [SE], 0.05; 95% CI, 0.63-0.81; p<0.001; cut-off value=3.4 g/dL). Kaplan-Meier survival analysis showed that the cumulative 30-day mortality was significantly higher in patients with a pre-ECMO albumin level ≤3.4 g/dL than in those with a level >3.4 g/dL (68.9% vs. 23.8%, p<0.001). As the adjusted amount of albumin infused increased, the possibility of 30-day mortality also increased (coefficient=0.140; SE, 0.037; p<0.001). Conclusion: Hypoalbuminemia during ECMO was associated with higher mortality, even with higher amounts of albumin replacement, in patients with CS who underwent VA-ECMO. Further studies are needed to predict the timing of albumin replacement during ECMO.
This study aims to examine the effects of health status on life satisfaction and depression and to examine the effect of spirituality and religious involvement on this relationship among Korean older persons. On the basis of the previous literature, we hypothesize that health status will have a direct effect on life satisfaction and depression, but that spirituality and religious involvement will moderate this effect in addition to having direct effects on life satisfaction and depression. In light of the different gender effects on all five variables (health status, spirituality, religious involvement, life satisfaction, and depression), we also examine the effects of gender on these variables. The data for this study came from the Hallym Aging Study conducted by the Hallym University Institute of Aging from February to March in 2005. Through stratified multi-stage random sampling, 1409 individuals aged 65 and over, who lived in Seoul and Chuncheon in Korea. Multiple regression analysis was used to investigate whether health status, gender, spirituality and religious involvement could predict life satisfaction and depression, and whether the direct relationships were moderated by interactions among these variables. We took three ordered regression steps to examine the hypothesis; the first step contained the covariates of age, education, living with spouse, monthly expense, living with adult children, and household income. We also entered gender into this step, so it would be adjusted for in relation to the other covariates. The second step then looked for any direct effects that gender, health status, spirituality, and religious involvement might have on life satisfaction and depression above and beyond the effects of the covariates. The third step contained interaction terms to look for further variance accounted for by indirect, moderating effects on life satisfaction and depression. The results showed that health status had a significant effect on both life satisfaction and depression, and religious involvement had a significant effect on depression. Spirituality and religious involvement were found overall to be a moderator, reducing the negative effect of health status on life satisfaction and depression. The direct effect of religious involvement and the moderating effects of spirituality and religious involvement on life satisfaction and depression are consistent with the view that spirituality and religion are resources and benefit the well-being of older adults.
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