• Title/Summary/Keyword: Discrimination Factor

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Inter-hospital Comparison of Cesarean Section Rates after Risk Adjustment (위험도 보정을 통한 병원간 제왕절개 분만율의 비교)

  • Lee, Sang-Il;Ha, Beom-Man;Lee, Moo-Song;Kang, Wee-Chang;Koo, Hee-Jo;Kim, Chang-Yup;Khang, Young-Ho
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.4
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    • pp.337-346
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    • 2001
  • Objective : To determine the clinical risk factors associated with the mode of delivery decision and to compare cesarean section rates after adjusting for risk factors identified among Korean hospitals. Methods Data were collected from 9 general hospitals in two provincial regions by medical record abstraction during February 2000. A total of 3,467 cases were enrolled and analyzed by stepwise logistic regression. Performance of the risk-adjustment model (discrimination and calibration) was evaluated by the C statistic and the Hosmer-Lemeshow test. Crude rates, predicted rates with 95% confidence intervals, and adjusted rates of cesarean section were calculated and compared among the hospitals. Results : The average crude cesarean section rate was 53.2%, ranging from 39.4% to 65.7%. Several risk factors such as maternal age, previous history of cesarean section, placenta previa, placental abruption, malpresentation, amniotic fluid abnormality, gestational anemia, infant body weight, pregnancy-induced hypertension, and chorioamnionitis were found to have statistically significant effects on the mode of delivery. It was confirmed that information about most of these risk factors was able to be collected through the national health insurance claims database in Korea. Performance of the risk-adjustment model was good (c statistic=0.815, Hosmer-Lemeshow test=0.0621). Risk factor adjustment did lead to some change in the rank of hospital cesarean section rates. The crude rates of three hospitals were beyond 95% confidence intervals of the predicted rates. Conclusions : Considering that cesarean section rates in Korean hospitals are too high, it is apparent that some policy interventions need to be introduced. The concept and methodology of risk adjustment should be used in the process of health policy development to lower the cesarean section rate in Korea.

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An influence on some university students' drinking quality and the plan for cutting down on drinking (일부 대학생들의 음주량에 미치는 영향과 절주방안)

  • Kim, Seung-Dae;Kim, Myung-Gwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.221-227
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    • 2016
  • The purpose of this study is to investigate the effect of social factors and social stress with respect to alcohol consumption for university students and to provide basic data in efforts to develop educational method that teaches how to decrease alcohol consumption and deny demanding drinking. Questions concerning typical features and social stress from drinking were revised through 300 university students' self-recording surveys between April 8 and 9 in 2015. It consisted of 10 questions using a 4-point Likert scale. Moreover, the reliability of tool was Cronbach ${\alpha}=.82$. We used SPSS 18.0 and conducted frequency, ${\chi}^2$ and path analysis. If the frequency of drinking (B=.206, p<.001) gets low and the social stress from drinking is low (B=-.397, p<.001), the amount of drinking increases, particularly for men more than women (B=.169, p<.05). For women more than men (B=.274, p<.01), if monthly income is high (B=.178, p<.05) and stress from drinking is low (B=-.349, p<.01), the frequency of drinking is high. If the culture of practice in drinking has not formed voluntarily through education or publication, legal restriction that increases the cost of drinking has to be established, like smoking, to reduce the volume of drinking and promote moderation in drinking. The publication and education that teaches drinking leads to bad situations have to be conducted, much like the education programs involved for smoking. Also, discrimination of non-drinker has to be removed with the change of culture to reduce the stress by drinking.

Diaspora and National policy - Focusing on Russian Diaspora and chinese Diaspora (디아스포라와 국가정책 - 러시안 디아스포라와 차이니즈 디아스포라를 중심으로)

  • Chun, Byung Kuk
    • Cross-Cultural Studies
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    • v.26
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    • pp.123-144
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    • 2012
  • In the modern society in which globalization and localization proceed simultaneously, diversified and rapid migration of diaspora makes a new from of boundary off the frame of the state and the nation. This new border accompanies cultural change and racial mixture; retains ethnic conflict, the gap between rich and poor, alienation and discrimination, as well as power conflict; and extends its influence. Nowadays, the countries all over the world including Korea face problem of Diaspora in numerous forms. And each country takes an approach to the problem of the diaspora in the aspects of their society, culture and political technology. This implies that most countries, without understanding the new form of border which is alive and dynamic, define and conceptualize the diaspora in the frame of one state and one nation to carry forward the policies accordingly, resulting in inequal, incomplete and awkward homogenization. This study aimed to explore the identity of the diaspora, the core for the problem solving. Of course, studies about the identity of the diaspora have been continued until today and many great outcomes have been achieved. Nevertheless, this study aimed to explore the identity of the diaspora and the national policies which have a close interrelationship with it. It is because the study ultimately aimed to highlight the interrelationship between the destination countries, Russia and China, and the diaspora, through the definition and the classification of Russian diaspora and Chinese diaspora and the analysis of the national policies about that. However, the intention was not to distinguish superiority through the comparison of the polices about the diaspora between two countries, but to focus on the diversity of the identity of the diaspora through defining each different diaspora and paralleling the policies. Second, the reason for looking into the diaspora policies of these two countries is because it is judged the changes in the diaspora policies of each country is one of the active factors for the changes in the identify of the diaspora of each country and it is the basic research for the study on the identity of the diaspora. New migration of diaspora changes the identity of the state, and the state makes the policies and enforce the policies, resulting in the influence on the diaspora. This interaction acts as the growth factor for the new boundary. The causes of Russian diaspora and Chinese diaspora show apparent 'differences'. In parallel with this, the policies about the diaspora in Russia and China arouse 'differences' to the diaspora. The variation of the identity of the diaspora made by these differences will suggest other viewpoints on the diaspora, and these viewpoints will become the foundation for solving the problem of the diaspora in the present times.

The Influence of Career Barriers Perceived by Unemployed Married Women on Career Preparation Behaviors. (미취업 기혼여성이 지각하는 진로장벽이 진로준비행동에 미치는 영향)

  • Lee, Su-Bun;Lee, Jung-Hee
    • Journal of vocational education research
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    • v.29 no.3
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    • pp.187-208
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    • 2010
  • The purpose of this study is to help prepare basic data which is required for married women's vocation career education through analyzing the influence of career barriers perceived by unemployed married women on career preparation behaviors. Research subjects of this study are following. First, how are career barriers perceived by unemployed married women? Second, how are the career preparation behaviors levels of unemployed married women? Third, how is the influence of career barriers perceived by unemployed married women on career preparation behaviors? The summary of this study results are following. First, married women perceive career barriers highly in 'restriction of employment', 'discrimination', and 'child rearing environment' among 7 subordinate factors. Second, married women's average on career preparation behavior level is 3.06. When comparing with preceeding researches which analyzed career preparation behaviors levels of university students, married women's career preparation behaviors levels are relatively higher. Third, there are negative correlations between career barriers and career preparation behaviors perceived by married women. Furthermore, 'preparation/skill lack' and 'child rearing environment' factors among 7 subordinate factors of career barriers brought out negative effects on career preparation behaviors. 'Restriction of employment' factor, however, gives positive effects on career preparation behaviors. It showed that 7 subordinate factors of career barriers include 14% of career preparation behaviors.

Analysis of the Study Trend of Glass Ceiling by Period Using Text Mining (텍스트 마이닝을 이용한 시대별 유리천장 연구동향 분석)

  • Kim, Young-Man;Lee, Jin Gu
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.376-387
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    • 2021
  • This study is to analyze the research trends related to the 'glass ceiling' phenomenon using big data analysis methods and to suggest social implications. To analyze the research trends of 'glass ceiling', the historical event that broke the 'glass ceiling' was set as an important issue, and keywords were collected by dividing park's term into three. Before, throughout and after, her term. As a result of frequency analysis, research was conducted based on 'public servants' which was selected as the main keyword in the first period, while 'women's work family compatibility' was chosen as the main keyword group in the second period. In the third period, keywords for women's occupational groups were being diversified. As a result of applying CONCOR techniques to make the studied main topics grouped, we were able to confirm that the main issues were the differentiating factors, the customary gender discrimination culture, the jobs aimed for studying, the work-family balance, the glass ceiling and the organizational performance adjustment factors, the public sector, organizational performance, and the private sector. Besides work-family compatibility support system, it was suggested as a social implication that research on improving the system to resolve the glass ceiling factor and to expand the target jobs to give solutions to real-life issues were needed, and also suggested that research on the 'glass ceiling' which the general public perceives through social medias or articles in the news, was needed in the future.

The realistic threat and symbolic threat toward people with mental illness: The effect of contact and sense of community (정신장애인에 대한 실질적 위협감 및 상징적 위협감: 접촉경험 및 공동체의식과의 관계)

  • Seungah Ryu;Kyoungmi Kim
    • Korean Journal of Culture and Social Issue
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    • v.25 no.2
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    • pp.119-135
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    • 2019
  • There have been many efforts to reduce prejudice and discrimination against people with mental illness in our community. Studies have shown that the threat to people with mental illness is a important factor. In this study, we focused on contact experience and sense of community that are believed to influence both realistic and symbolic threat We looked the differences in threat depending on the type of contact(family, friends/coworker, public places, no contact) with people with mental illness. Next, if there is contact experience, we questioned that the quality of the experience could influence the threats in all types of contact. Finally, could contact experience and sense of community affect the threats? The total of 465 respondents were surveyed in this study. The result showed that the realistic threat were not different depending on the types of contact, but that the symbolic threat were more higher people with no-contact experience than people with contact experience. The quality of experience had a significant effect on both threats, except in the case of the family contact on realistic threat. Lastly, sense of community was analyzed as a significant variable for both realistic and symbolic threats. Based on these results, we discussed the impact of contact and sense of community and implications of this study.

Assessment of China's Policies Regarding Grain Import and Export

  • Junghwan Choi;Sangseop Lim
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.12
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    • pp.267-279
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    • 2023
  • The objective of this paper is to examine the legal framework governing the import and export of grain in China, a pivotal factor in shaping policies aimed at stabilizing South Korea's foreign trade and grain imports. Through this analysis, it is observed that China's foreign trade system, governed by the Foreign Trade Act, exhibits a notable absence of clear delineation regarding the scope and responsibility for the delegation of authority to foreign trade management agencies. In contrast, Korea's Foreign Trade Law, along with its enforcement decree and management regulations, explicitly outlines the scope and responsibilities pertaining to the delegation of authority to foreign trade management. However, in the case of China's revised Foreign Trade Law, there exists a lack of precision in specifying the delegation of authority to foreign trade management. This creates a potential for discretionary intervention by local governments or other administrative bodies. While China's legal system concerning grain imports and exports aligns with WTO regulations in its institutional framework, attention is warranted due to the vagueness in laws or regulations, as well as the presence of irrational and non-transparent procedures during system operation. As conclusion remarks, while China's legal structure related to grain imports and exports conforms to WTO guidelines overall, the identified issues such as legal ambiguity and non-transparent procedures underscore the need for caution. To safeguard against potential challenges in future trade interactions with China, proactive measures are crucial to address these concerns.

Mass spectrometry-based ginsenoside profiling: Recent applications, limitations, and perspectives

  • Hyun Woo Kim;Dae Hyun Kim;Byeol Ryu;You Jin Chung;Kyungha Lee;Young Chang Kim;Jung Woo Lee;Dong Hwi Kim;Woojong Jang;Woohyeon Cho;Hyeonah Shim;Sang Hyun Sung;Tae-Jin Yang;Kyo Bin Kang
    • Journal of Ginseng Research
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    • v.48 no.2
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    • pp.149-162
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    • 2024
  • Ginseng, the roots of Panax species, is an important medicinal herb used as a tonic. As ginsenosides are key bioactive components of ginseng, holistic chemical profiling of them has provided many insights into understanding ginseng. Mass spectrometry has been a major methodology for profiling, which has been applied to realize numerous goals in ginseng research, such as the discrimination of different species, geographical origins, and ages, and the monitoring of processing and biotransformation. This review summarizes the various applications of ginsenoside profiling in ginseng research over the last three decades that have contributed to expanding our understanding of ginseng. However, we also note that most of the studies overlooked a crucial factor that influences the levels of ginsenosides: genetic variation. To highlight the effects of genetic variation on the chemical contents, we present our results of untargeted and targeted ginsenoside profiling of different genotypes cultivated under identical conditions, in addition to data regarding genome-level genetic diversity. Additionally, we analyze the other limitations of previous studies, such as imperfect variable control, deficient metadata, and lack of additional effort to validate causation. We conclude that the values of ginsenoside profiling studies can be enhanced by overcoming such limitations, as well as by integrating with other -omics techniques.

Development of Timing Regulation Rhythm-Based Music Intervention Protocol for Children With ADHD (ADHD 아동 대상 타이밍 조절 리듬 기반 음악중재 프로토콜 개발)

  • Cho, Mi-Ran;Park, Hye-Young
    • Journal of Music and Human Behavior
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    • v.21 no.2
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    • pp.1-30
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    • 2024
  • The purpose of this study is to develop a rhythm-based music intervention protocol to enhance timing regulation in children with ADHD and investigate its feasibility. For this purpose, a three-phase study was conducted involving ADHD children and typically developing children. In the first phase, group-specific baseline measurements were taken for auditory attention (KAT), motor timing, and perceptual timing. In the second phase, a rhythm-based music intervention protocol incorporating key factors was developed. In the third phase, the developed protocol was applied to ADHD children to investigate the variables affecting timing regulation and to verify its effectiveness. Results from the first phase revealed significant differences in the timing values of children with ADHD, particularly in tasks requiring discrimination of sound duration and precision in rhythm patterns. Additionally, exploratory factor analysis of KAT results and motor/perceptual timing identified three clusters: attentional responsiveness, attentional synchronization, and attentional sophistication. In the second phase, a protocol consisting of tasks involving synchronization, attentional shifting, and rhythm production at various difficulty levels was developed and validated for expert validity. In the third phase, individual application of the protocol to children with predominantly inattentive and hyperactive-impulsive ADHD subtypes demonstrated changes in timing regulation tasks. This study provided basic data for using rhythm as an effective facilitation tool that leads from voluntary to involuntary attention in children with ADHD.

THE PRELIMINARY STUDY FOR THE DEVELOPMENT OF KOREAN VERSION PARENTING STRESS INDEX (한국형 부모양육스트레스 척도(Parenting Stress Index) 개발을 위한 예비연구)

  • Youm, Hyun-Kyung;Shin, Yun-O;Lee, Kyung-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.1
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    • pp.70-78
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    • 2000
  • This study was to develop Korean version of Parenting Stress Scale. Primary research was processed thru Abidin's PSI(Parenting Stress Index) scale. For the pilot primary study, distri-buted questionnaire to the mothers who have three to twelve age children and tried factor analysis with 382 data sheets. At the result, 29 items and 5 factors among the 47 items of child domain, 28 items and 5 factors among the items of parent domain were extracted. At the secondary pilot study survey, reanalyzed the 57 items extracted by primary pilot survey with the 392 data collected from three to six age children's parents. For the item discrimination analysis, calculated item-total correlation and deleted the items under r=.20. For the validity test, reviewed content validity and construct validity. For the verification of construct validity, tried factor analysis. At the result, in child domain area, the four factors, 'Reinforces Parent's, 'Accep-tability', 'Attention Distractiveness', 'Demandingness' and 24 items were extracted. Among the common variance of child domain, 'explained common variance' was 82.05%. In parent domain area, the five factors, 'Restriction of Role', 'Depression', 'Social Isolation', 'Parent Health', 'Spouse Relationship' and 24 items were extracted. Among the common variance of parent domain, 'explained common dominator' was 82.40%. For the verification of reliability, Cronbach's ${\alpha}$ coefficient was calculated and in child domain, .69, .70, .67, .66 were produced by each item, respectively and total reliability coefficient was ${\alpha}$=.81. Reliability coefficient of parent domain was .73, .70, .70, .55, .73 by each item, respectively and total reliability coefficient was ${\alpha}$=.83. This study was processed as a primary research to develop the Korean version of parent stress scale which is originally from U.S.A. version of PSI and apply it to proper Korean culture. Therefore, the necessity of continuous study was discussed with more localized items and factors.

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