• Title/Summary/Keyword: Causal structure

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A Predictive Model on Patient-Centered Care of Hospital Nurses in Korea (상급종합병원 간호사의 환자중심간호 예측모형)

  • Jeong, Hyun;Park, Myonghwa
    • Journal of Korean Academy of Nursing
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    • v.49 no.2
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    • pp.191-202
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    • 2019
  • Purpose: Patient-centered care is a widely utilized concept in nursing and health care. However, the key components of patient-centered nursing have not yet been reported. Moreover, previous studies on patient-centered care have mostly focused on components of nursing rather than organizational factors. Therefore, a comprehensive understanding of influential factors of patient-centered care is required. Methods: The purpose of this study was to develop a theoretical model based on person-centered care theory, and the relevant literature and to test the developed model with covariance structure analysis in order to determine the causal paths among the variables. Results: The model fit indices for the hypothetical model were suitable for the recommended level (goodness of fit index=.87, standardized root mean residual=.01, root mean square error of approximation=.06, Tucker-Lewis index=.90, comparative fit index=.92, parsimonious normed fit index=.75). In this study, five of the six paths established in the initial hypothetical model were supported. The variables of teamwork, self-leadership, and empathy accounted for 56.4% of hospital nurses' patient-centered care. Among these, empathy was the strongest predictor of patient-centered care. Conclusion: These results suggest that it is necessary to use strategies to improve self-leadership and empathy. In addition to enhancing the personal factors of nurses, nursing organizations should strive for effective multidisciplinary cooperation with active support for patient-centered care and openness to change.

Cause Analysis and Reduction of Safety Accident in Modular Construction - Focusing on Manufacturing and Construction Process - (모듈러 건축에서의 안전사고 원인 분석 및 저감방안 - 제작 및 시공단계 작업을 중심으로 -)

  • Jeong, Gilsu;Lee, Hyunsoo;Park, Moonseo;Hyun, Hosang;Kim, Hyunsoo
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.35 no.8
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    • pp.157-168
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    • 2019
  • Modular Construction is regarded as having enhanced safety compared to traditional construction since most of modular manufacturing process in plants. Unlike general consideration for safety in modular construction, several industrial accident data and studies have pointed out that the accident rate of modular construction is not enough less as much as the practitioners have expected. It means that there is a clear need for improvement of safety management in modular construction. To enhance safety, it is necessary to identify the type and cause of accident through accident cases in order to prevent safety accident in advance. In this consideration, this study analyzed the types and causes of accidents through root cause analysis procedure with accident cases of U.S. OSHA. The classification was carried out in the order of process type, accident type and cause of accident. By following the classification criteria in this study, the causal factor was derived and the root cause map was created. Based on the analysis results, cross-analysis was conducted and it is shown that activity characteristics of modular construction are related to safety accidents. In addition, prevention methods to reduce safety accident by major activity are presented in terms of organizational, educational and technical aspects. This study contributes that the result can be used as the basic safety management in the manufacturing and construction process of modular construction.

Proteomic and Phenotypic Analyses of a Putative Glycerol-3-Phosphate Dehydrogenase Required for Virulence in Acidovorax citrulli

  • Kim, Minyoung;Lee, Jongchan;Heo, Lynn;Lee, Sang Jun;Han, Sang-Wook
    • The Plant Pathology Journal
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    • v.37 no.1
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    • pp.36-46
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    • 2021
  • Acidovorax citrulli (Ac) is the causal agent of bacterial fruit blotch (BFB) in watermelon, a disease that poses a serious threat to watermelon production. Because of the lack of resistant cultivars against BFB, virulence factors or mechanisms need to be elucidated to control the disease. Glycerol-3-phosphate dehydrogenase is the enzyme involved in glycerol production from glucose during glycolysis. In this study, we report the functions of a putative glycerol-3-phosphate dehydrogenase in Ac (GlpdAc) using comparative proteomic analysis and phenotypic observation. A glpdAc knockout mutant, AcΔglpdAc(EV), lost virulence against watermelon in two pathogenicity tests. The putative 3D structure and amino acid sequence of GlpdAc showed high similarity with glycerol-3-phosphate dehydrogenases from other bacteria. Comparative proteomic analysis revealed that many proteins related to various metabolic pathways, including carbohydrate metabolism, were affected by GlpdAc. Although AcΔglpdAc(EV) could not use glucose as a sole carbon source, it showed growth in the presence of glycerol, indicating that GlpdAc is involved in glycolysis. AcΔglpdAc(EV) also displayed higher cell-to-cell aggregation than the wild-type bacteria, and tolerance to osmotic stress and ciprofloxacin was reduced and enhanced in the mutant, respectively. These results indicate that GlpdAc is involved in glycerol metabolism and other mechanisms, including virulence, demonstrating that the protein has pleiotropic effects. Our study expands the understanding of the functions of proteins associated with virulence in Ac.

The Diffusion Period and Productivity of Smartwork by Business Simulation (비즈니스 시뮬레이션으로 살펴본 스마트워크의 확산 기간과 생산성 연구)

  • Jung, Byoungho
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.17 no.1
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    • pp.57-73
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    • 2021
  • The purpose of this study is to analyze the diffusion period and productivity of smartwork in an organization. Firms are increasingly interested in smartwork for non contact work and working from home because of the corona 19. The smartwork is a new technology that changes face-to-face work in an organization. It helps the work of individuals and organizations regardless of time and place. The theoretical background describes the complexity, system thinking, diffusion theory, smart work, organizational resistance, and productivity. This study analyzes the diffusion period and productivity of smart work through business simulation techniques. A simulation study progresses four stages. There are problem definition, hypothesis establishment and causal loop diagram, model construction and verification, and policy evaluation. The simulation models contain an individual's resistance variables organizational investment and leadership variables related to the operation of smartwork. The organizational investment variables include organizational culture, legal system, implement systems and technology investment. The individual resistance variables include cognitive, attitude, structure and technological resistance. The leadership includes leadership interest variables and performance linkage variables. The simulation executed the changes of a people number adopting smart work and the organizational productivity monthly. As a result of the simulation, many organization members have accepted the smart work innovation after 20 months. The organizational productivity through smart work showed very high value after 16 months. In scenario analysis, the individuals' awareness and attitude resistance showed very important variables to productivity and a personal change of smart work adoption. Meanwhile, The organizational investment showed that the high driving-force increased not productivity and the low driving-force showed decreased low productivity. Also, leadership variables showed a powerful driver for changing smart work productivity. The implication of the study has suggested extending complexity, diffusion theory and organization resistance theory based on simulation methods.

Development of Flood Risk Index using causal relationships of Flood Indicators (홍수지표의 인과관계를 이용한 홍수위험지수 개발)

  • Lim, Kwang Suop;Choi, Si Jung;Lee, Dong Ryul;Moon, Jang Won
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.30 no.1B
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    • pp.61-70
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    • 2010
  • This research presents a methodology to define and apply appropriate index that can measure the risk of regional flood damage. Pressure-State-Response structure has been used to develop the Flood Risk Index(FRI), which allows for a comparative analysis of flood risk assessment between different sub-basins. FRI is a rational assessment method available to improve disaster preparedness and the prevention of losses. The pressure and state index for flood at 117 sub-basins from the year 1980s until the t 10s showed proportional relations, but state index did not decrease even though response index increased. This shows that pressures for flood damage relatively exceed countermeasure for flood. Thus this means we need to strengthen design criteria for flood countermeasure in the future. The FRI is gradually going down in consequence of continuous flood control projects. Flood risk of Han River and Nakdong River area is relatively lower than that of Geum, Seumjin, and Youngsan River area.

Comorbid Conditions in Persons Exposed to Ionizing Radiation and Veterans of the Soviet-Afghan War: A Cohort Study in Kazakhstan

  • Saule Sarkulova;Roza Tatayeva;Dinara Urazalina;Ekaterina Ossadchaya;Venera Rakhmetova
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.1
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    • pp.55-64
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    • 2024
  • Objectives: This study investigated the prevalence and characteristics of comorbid conditions in patients exposed to ionizing radiation and those who were involved in the Soviet-Afghan war. Methods: This study analyzed the frequency and spectrum of morbidity and comorbidity in patients over a long-term period (30-35 years) following exposure to ionizing radiation at the Semipalatinsk nuclear test site or the Chornobyl nuclear power plant, and among participants of the Soviet-Afghan war. A cohort study, both prospective and retrospective, was conducted on 675 patients who underwent comprehensive examinations. Results: Numerical data were analyzed using the Statistica 6 program. The results are presented as the mean±standard deviation, median, and interquartile range (25-75th percentiles). The statistical significance of between-group differences was assessed using the Student t-test and Pearson chi-square test. A p-value of less than 0.05 was considered statistically significant. We found a high prevalence of cardiovascular diseases, including hypertension (55.0%) and cardiac ischemia (32.9%); these rates exceeded the average for this age group in the general population. Conclusions: The cumulative impact of causal occupational, environmental, and ultra-high stress factors in the combat zone in participants of the Soviet-Afghan war, along with common conventional factors, contributed to the formation of a specific comorbidity structure. This necessitates a rational approach to identifying early predictors of cardiovascular events and central nervous system disorders, as well as pathognomonic clinical symptoms in this patient cohort. It also underscores the importance of selecting suitable methods and strategies for implementing treatment and prevention measures.

Effect of Adolescents' Perceived Parental Blame on Learned Helplessness: The Sequential Mediating Effects of Maladaptive Metacognitive Beliefs and Rumination (청소년이 지각한 부모의 비난이 학습된 무기력에 미치는 영향에서 역기능적 메타인지신념과 반추의 순차적 매개효과)

  • Jiyoon Kang;Min Ju Kang
    • Human Ecology Research
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    • v.62 no.1
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    • pp.101-120
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    • 2024
  • This study aimed to examine the effect of adolescents' perceived parental blame (criticism) on learned helplessness and to examine whether maladaptive metacognitive beliefs and rumination sequentially mediate the relationship between parental blame and learned helplessness. The participants were 316 adolescents (Mean age=16.7, SD=0.75; 137 male, 179 female) attending grades 1st and 2nd in high school in South Korea. The participants were selected using a snowball sampling method, while the data was collected via an online self-report questionnaire. This survey was completed by the participants and analyzed using SPSS 28.0, Amos 26.0 (IBM Co., Armonk, NY), and PROCESS macro version 4.2 (Model 6; Hayes, 2022). The main results are summarized as follows. Firstly, the adolescents' perceived paternal and maternal blame indicated significant direct effects on learned helplessness. Secondly, rumination mediated the effect of paternal and maternal blame on learned helplessness. Lastly, paternal and maternal blame significantly affected learned helplessness through the sequential mediating effects of maladaptive metacognitive beliefs and rumination. This study elucidates the causal structure among the various factors influencing learned helplessness in adolescents, focusing on parental blame, maladaptive metacognitive beliefs, and rumination. Furthermore, considering the verified sequential mediating effects of maladaptive metacognitive beliefs and rumination in the relationship between adolescents' perceived parental blame and learned helplessness, these findings suggest that modifying maladaptive metacognitive beliefs may help to reduce learned helplessness among adolescents who perceive high levels of parental blame.

An Investigation of the Types of Analogies Generated by Science-Gifted Student, Mapping Errors on the Chromatography, and the Perceptions on Generating Analogy (크로마토그래피 개념에 대해 중학교 과학영재가 만든 비유의 유형과 대응 오류 및 비유 만들기 활동에 대한 인식 조사)

  • Kim, You-Jung;Moon, Se-Jeong;Noh, Tae-Hee
    • Journal of The Korean Association For Science Education
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    • v.29 no.8
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    • pp.861-873
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    • 2009
  • This study investigated the types of analogies generated by science-gifted students, mapping errors on the chromatography, and the perceptions on generating analogy. The subjects were science-gifted eighth-graders (N=68) enrolled at four gifted-education centers in Seoul. Analyses of the results revealed that most science-gifted students represented the analogies using verbal and pictorial forms based on concrete and everyday experiences, and they elaborately explained them including the functional attributes and the causal relationships of the target concept. Science-gifted students selected the analogies having rich similarities or similar structure and principle between the target concept and the analogy as the best of the self-generated analogies. And they used mainly their 'school life' as analogy materials. The results of the mapping test showed that many science-gifted students had mapping errors such as 'failure to map' and 'overmapping'. They were found to have the positive perceptions on generating analogy. The present study will provide the basic information to develop an instructional model in generating analogy in an education program for science-gifted students.

A Study on Cause-and-Effect Hierarchy of Profit Factors for the Feasibility Evaluation of Overseas Construction Projects (해외건설공사의 타당성 평가를 위한 수익성 영향인자의 인과관계 계층구조 구축에 관한 연구)

  • Sun Seung-Min;Kim Han-Him;Han Seung-Heon
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.373-378
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    • 2003
  • Korea's overseas construction industry has been rather depressed by the weakened profitability as well as the sharp decrease of the market shares due to the lack of international competitiveness and the declined international market following the outbreak of Iraq war. There exist a lot of various risks in performing the overseas construction, and especially EPC projects, which entail complicated process from different parts, also require a sophisticated procurement and management skill. Subsequently, to survive in the competitive international market, we need to establish strategies to select potentially profitable projects at the initial stage of bidding process and to mitigate the high degree of risk exposures through contract negotiation and its adjustment. This research provides the profitability evaluation bases, with which overseas construction participants can forecast and analyze the risk more systematically, by eliciting profit-influencing factors from real overseas construction projects and structuring their cause-and-effect relationships. The profitability causal hierarchy structure describes the profitability factors' hierarchy in details and their interrelationships. It also enables us to find out critical factors directly related to profitability aggravation through a qualitative analysis. Ultimately, with this hierarchy structure as the base, the research will suggest how to develop the quantitative profitability forecasting model.

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A Study on the Impact of Hotel Internal Marketing Practices on Culinary Staff Job Satisfaction and Organizational Commitment (호텔기업 내부마케팅활동이 조리종사원들의 직무만족과 조직몰입에 미치는 영향에 관한 연구)

  • Ahn, Sung-Bin;Lee, Jong-Ho
    • Culinary science and hospitality research
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    • v.21 no.2
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    • pp.60-74
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    • 2015
  • This study seeks to determine causal relationships between hotel internal marketing practices and job satisfaction, and ultimately on organizational commitment, to contribute information enabling hotel management to better understand employees working in hotel culinary departments. SPSS 18.0 and AMOS 18.0 were employed for the statistical analysis (e.g. frequency statistics, exploratory factor analysis, confirmatory factor analysis, reliability analysis, and structure equation model). Results revealed that the formulated model showed proper model fit (${\chi}^2=227.154$(df=179), p-value=0.009, CMIN/DF=1.269, RMR=0.013, GFI=0.931, AGFI=0.911, NFI=0.906, CFI=0.978, RMSEA=0.031), and confirmed construct reliability and convergent validity. Three factors (benefit package, educational training, work autonomy) were extracted based on the results of the factor analyses. Specifically, benefit package and work autonomy exhibited an effect on job satisfaction with benefit package asthe most significant factor (t-value 3.311, p<0.001), partially supporting the first hypothesis of this study. In addition, job satisfaction has found to have a positive influence in organizational commitment, confirming the second hypothesis of this study.