• Title/Summary/Keyword: Impact Rate

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Differences in Unmet Healthcare Needs among the Elderly by the Level of Medical Vulnerability: Implications for Securing Essential Healthcare Resources for the Medically Vulnerable Elderly (의료취약성 정도에 따른 노인의 미충족의료 경험 비교: 의료취약계층 노인의 필수적 의료자원 보장을 위한 시사점)

  • Shin, Serah
    • Journal of Family Resource Management and Policy Review
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    • v.26 no.3
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    • pp.49-64
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    • 2022
  • This study aims to investigate unmet healthcare needs due to economic or non-economic difficulties among the elderly aged 65 or older. Using Korea Health Panel Survey (KHPS) data from 2018, the elderly are classified into one of four groups (health insurance subscribers, non-take-up, lower income relief, and medical aid recipients) based on their level of medical vulnerability. For hospital or dental care, the prevalence rates of unmet healthcare needs due to economic and non-economic difficulties are 12.6% and 10.6%, respectively. The prevalence rate of unmet healthcare needs due to economic difficulty in the medically vulnerable group was much higher than that of the non-vulnerable group-that is, health insurance subscribers. After controlling for other influential factors, medical vulnerability has a great impact on the prevalence rates of unmet healthcare needs due to economic difficulties. Compared to health insurance subscribers, the non-take-up, the lower relief, and the medical aid recipients are 1.4 times, 3.3 times, and 2.4 times more likely to experience unmet healthcare needs due to economic difficulty, respectively. The results of this study can provide important policy implications for securing essential healthcare resources for the elderly.

The Impact of GFRIs' Technical Support System on SMEs (정부출연연구원의 중소기업 기술지원 성과에 관한 연구: 협력과 수요대응지원제도를 중심으로)

  • Yoon, Sangpil;Kim, Philsung;Jeong, Kyuchae;Chung, Yanghon;Ko, Hyesoo
    • Korean small business review
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    • v.42 no.2
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    • pp.93-115
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    • 2020
  • Government funded research institutes (GFRIs) maintain a cooperative relationship with companies and stably provide their resources through the family company system. They are thereby implementing a demand-oriented support system that responds to the needs of the company. This study analyzed the changes in corporate financial performance depending on the participation in family company system and customized support. For this purpose, 2,229 companies registered with the KITECH during 2015-2017 composed the "Family company group", and 80 companies that participated in the customized support were selected as the "customized support group". The effect of participation on the corporate financial performance was analyzed using the PSM-DID model. The analysis verified that companies in a cooperative relationship with GFRIs had a higher sales growth rate than others. Furthermore, when these companies received additional customized support, their OI and ROE were significantly improved. The value of this study lies in that it quantitatively analyzed the cooperation performance of partner companies following a sustainable SME-GRI relationship. In addition, it provides insight into the strategic support system for SMEs by confirming the necessity of a customized support based on the relationship.

The Effects of COVID-19 on the Self-Harm in Children and Adolescents Observed in a University Hospital (대학병원에서 관찰한 코로나19가 소아청소년 자해에 미치는 영향)

  • Oh, Sae-Bom;Kim, Seung-Jun;Kim, Ji-Woong;Oh, Hong-Seok;Im, Woo-Young;Lee, Na-Hyun
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.128-135
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    • 2021
  • Objectives : The aim of the present study is to investigate the impact of COVID-19 on the incidence and severity of childhood and adolescent self-harm. Methods : Medical records were retrospectively reviewed for patients under the age of 18 who visited the emergency room of Konyang University Hospital to compare the rate of self-harm attempts and the demographic, clinical, and self-harm-related of self-harm attempters aspects before and after the COVID-19 outbreak. Results : During 11 months after the COVID-19 outbreak, the proportion of the number of children and adolescents patients with self-harm and their episodes increased significantly compared to that during 11 months before the COVID-19 outbreak (𝛘2=14.397, p<0.001; 𝛘2=24.156, p<0.001). Between about the year before and after the outbreak of COVID-19, there was a significant difference in the prior self-harm history and psychiatric history among children and adolescents who visited the emergency room and the ratio of hospitalization to other departments than department of psychiatry (p<0.05; p<0.05; p<0.05). Conclusions : In the COVID-19 situation, the proportion of children and adolescents who visited the emergency room due to self-harm and admission to other departments are increasing. And it has been shown that the incidence of self-harm has significantly increased in children and adolescents with a history of prior self-harm and psychiatric past history. These findings underscore the need for the psychiatric evaluation and intervention of self-harm related high-risk groups among children and adolescents in pandemic situations.

Role of Sirtuin 1 in Depression and Associated Mechanisms (우울증에 관한 Sirtuin 1의 역할과 관련된 기전)

  • Seog, Dae-Hyun;Park, Sung Woo
    • Journal of Life Science
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    • v.31 no.12
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    • pp.1120-1127
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    • 2021
  • Depression has a negative impact on social functioning due to its high prevalence and increased suicide rate, and is a disease with a high economic burden. Depression is related to diverse brain-related phenomena, such as neuroinflammation, synaptic dysfunction, and cognitive deficit. As antidepressant drugs used in clinical trials have shown poor therapeutic effects, antidepressant drugs that show rapid efficacy urgently need to be developed. Although studies on various genes, proteins, and signaling pathways related to depression have been conducted, the pathogenesis of depression has not been clearly elucidated. Sirtuin 1 is a nicotinamide-adenine dinucleotide- (NAD+-) dependent histone deacetylase and is involved in cell differentiation, apoptosis, autophagy, and cancer metabolism. Recent genetic studies found that sirtuin 1 is a potential target gene for depression. In addition, preclinical studies reported that sirtuin 1 signaling affects depression-like behavior. In this review, we attempt to present up-to-date knowledge of depression and sirtuin 1. We describe the various roles of sirtuin 1 in the regulation of glial activation, circadian rhythm, neurogenesis, and cognitive function and the effects of its expression on depression. Further, we discuss the effect of sirtuin 1 on the impairment of neural plasticity, one of the key mechanisms of depression, and the associated mechanisms of sirtuin 1.

Prediction of Changes in Potential Distribution of Warm-Temperate and Subtropical Trees, Myrica rubra and Syzygium buxifolium in South Korea (남한에서 기후변화에 따른 난아열대 목본식물, Myrica rubra와 Syzygium buxifolium의 잠재분포 변화 예측)

  • Eun-Young, Yim;Hyun-kyu, Won;Jong-Seo, Won;Dana, Kim;Hyungjin, Cho
    • Ecology and Resilient Infrastructure
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    • v.9 no.4
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    • pp.282-289
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    • 2022
  • Analyzing the impact of climate change on the Korean Peninsula on the forest ecosystem is important for the management of subtropical forest bioresources. In this study, we collected location data and bioclimatic variables of the warm-temperate woody plant species, Myrica rubra and Cyzygium buxifolium, and applied the MaxEnt model based on the collected data to estimate the potential distribution area. Precipitation and temperature seasonality in the warmest quarter were the main environmental factors that determined the distribution of M. rubra, and the main environmental factors for S. buxifolium were precipitation in the warmest quarter and precipitation in the wettest quarter. The results of the MaxEnt model by administrative district, the M. rubra showed an area increase rate of 4.6 - 17.7% in the SSP2-4.5 climate change scenario and 13.8 - 30.5% in the SSP5-8.5 climate change scenario. S. buxifolium showed area increase rates of 4.8 - 32.2% in the SSP2-4.5 climate change scenario and 12.9 - 48.6% in the SSP5-8.5 climate change scenario. This study is meaningful in establishing a database and identifying future potential distribution areas of warm and subtropical plants by applying climate change scenarios.

Study on Structural Strength and Application of Composite Material on Microplastic Collecting Device (휴대형 미세플라스틱 수거 장비 경량화 부품 설계 및 구조강도 평가)

  • Myeong-Kyu, Kim;Hyoung-Seock, Seo;Hui-Seung, Park;Sang-Ho, Kim
    • Composites Research
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    • v.35 no.6
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    • pp.447-455
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    • 2022
  • Currently, the problem of pollution of the marine environment by microplastics is emerging seriously internationally. In this study, to develop a lightweight portable microplastic collection device, the types and number of microplastics in 21 coastal areas nationwide in Korea were investigated. And CFRP (Carbon Fiber Reinforced Plastic), GFRP (Glass Fiber Reinforced Plastic), ABS (Acrylonitrile Butadiene Styrene copolymer) and aluminum were applied for design and analysis of microplastic collection device to have the durability, corrosion resistance and lightweight. As a result of sample collection and classification from the shore, it was confirmed that microplastics were distributed the most in Hamdeok beach, and the polystyrene was found to be mainly distributed microplastics. Particle information through coastal field survey and CFD (Computational Fluid Dynamics) analysis were used to analyze the flow rate and distribution of particles such as sand and impurities, which were applied to the structural analysis of the cyclone device using the finite element method. As a result of structural analysis considering the particle impact inside the cyclone device, the structural safety was examined as remarkable in the order of CFRP, GFRP, aluminum, and ABS. In the view of weight reduction, CFRP could be reduced in weight by 53%, GFRP by 47%, and ABS by 61% compared to aluminum for the cyclone device.

Real-Time GPU Task Monitoring and Node List Management Techniques for Container Deployment in a Cluster-Based Container Environment (클러스터 기반 컨테이너 환경에서 실시간 GPU 작업 모니터링 및 컨테이너 배치를 위한 노드 리스트 관리기법)

  • Jihun, Kang;Joon-Min, Gil
    • KIPS Transactions on Computer and Communication Systems
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    • v.11 no.11
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    • pp.381-394
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    • 2022
  • Recently, due to the personalization and customization of data, Internet-based services have increased requirements for real-time processing, such as real-time AI inference and data analysis, which must be handled immediately according to the user's situation or requirement. Real-time tasks have a set deadline from the start of each task to the return of the results, and the guarantee of the deadline is directly linked to the quality of the services. However, traditional container systems are limited in operating real-time tasks because they do not provide the ability to allocate and manage deadlines for tasks executed in containers. In addition, tasks such as AI inference and data analysis basically utilize graphical processing units (GPU), which typically have performance impacts on each other because performance isolation is not provided between containers. And the resource usage of the node alone cannot determine the deadline guarantee rate of each container or whether to deploy a new real-time container. In this paper, we propose a monitoring technique for tracking and managing the execution status of deadlines and real-time GPU tasks in containers to support real-time processing of GPU tasks running on containers, and a node list management technique for container placement on appropriate nodes to ensure deadlines. Furthermore, we demonstrate from experiments that the proposed technique has a very small impact on the system.

Effects of an Infection Control Protocol for Coronavirus Disease in Emergency Mechanical Thrombectomy

  • Eun, Jin;Lee, Min-Hyung;Im, Sang-Hyuk;Joo, Won-Il;Ahn, Jae-Geun;Yoo, Do-Sung;Park, Hae-Kwan
    • Journal of Korean Neurosurgical Society
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    • v.65 no.2
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    • pp.224-235
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    • 2022
  • Objective : Since the outbreak of the coronavirus disease 2019 (COVID-19) pandemic, neurointerventionists have been increasingly concerned regarding the prevention of infection and time delay in performing emergency thrombectomy procedures in patients with acute stroke. This study aimed to analyze the effects of changes in mechanical thrombectomy protocol before and after the COVID-19 pandemic on procedure time and patient outcomes and to identify factors that significantly impact procedure time. Methods : The last-normal-to-door, first-abnormal-to-door, door-to-imaging, door-to-puncture, and puncture-to-recanalization times of 88 patients (45 treated with conventional pre-COVID-19 protocol and 43 with COVID-19 protection protocol) were retrospectively analyzed. The recanalization time, success rate of mechanical thrombectomy, and modified Rankin score of patients at discharge were assessed. A multivariate analysis was conducted to identify variables that significantly influenced the time delay in the door-to-puncture time and total procedure time. Results : The door-to-imaging time significantly increased under the COVID-19 protection protocol (p=0.0257) compared to that with the conventional pre-COVID-19 protocol. This increase was even more pronounced in patients who were suspected to be COVID-19-positive than in those who were negative. The door-to-puncture time showed no statistical difference between the conventional and COVID-19 protocol groups (p=0.5042). However, in the multivariate analysis, the last-normal-to-door time and door-to-imaging time were shown to affect the door-to-puncture time (p=0.0068 and 0.0097). The total procedure time was affected by the occlusion site, last-normal-to-door time, door-to-imaging time, and type of anesthesia (p=0.0001, 0.0231, 0.0103, and 0.0207, respectively). Conclusion : The COVID-19 protection protocol significantly impacted the door-to-imaging time. Shortening the door-to-imaging time and performing the procedure under local anesthesia, if possible, may be required to reduce the door-to-puncture and door-to-recanalization times. The effect of various aspects of the protection protocol on emergency thrombectomy should be further studied.

Groundwater control measures for deep urban tunnels (도심지 대심도 터널의 지하수 변동 영향 제어 방안)

  • Jeong, Jae-Ho;Kim, Kang-Hyun;Song, Myung-Kyu;Shin, Jong-Ho
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.23 no.6
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    • pp.403-421
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    • 2021
  • Most of the urban tunnels in Korea, which are represented by the 1st to 3rd subways, use the drainage tunnel by NATM. Recently, when a construction project that actively utilizes large-scale urban space is promoted, negative effects that do not conform to the existing empirical rules of urban tunnels may occur. In particular, there is a high possibility that groundwater fluctuations and hydrodynamic behavior will occur owing to the practice of tunnel technology in Korea, which has mainly applied the drainage tunnel. In order to solve the problem of the drainage tunnel, attempts are being made to control groundwater fluctuations. For this, the establishment of tunnel groundwater management standard concept and the analysis of the tunnel hydraulic behavior were performed. To prevent the problem of groundwater fluctuations caused by the construction of large-scale tunnels in urban areas, it was suggested that the conceptual transformation of the empirical technical practice, which is applied only in the underground safety impact assessment stage, to the direction of controlling the inflow in the tunnel, is required. And the relationship between the groundwater level and the inflow of the tunnel required for setting the allowable inflow when planning the tunnel was derived. The introduction of a tunnel groundwater management concept is expected to help solve problems such as groundwater fluctuations, ground settlement, depletion of groundwater resources, and decline of maintenance performance in various urban deep tunnel construction projects to be promoted in the future.

The Effects of Public Service Motivation on the Innovative Behavior of Public Officials : With a focus on the mediating effects of ethical leadership and the moderating effects of organizational culture (공무원의 공공봉사동기가 혁신행동에 미치는 영향: 윤리적 리더십의 매개효과와 조직문화의 조절효과를 중심으로)

  • Seo, Gwi-Bun;Choi, Do-Lim
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.531-543
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    • 2022
  • This study aims to examine the mediating effects of ethical leadership and the moderating effects of organizational culture in relation to the impact of public service motivation on innovative behavior by public officials. This research utilizes data from the 2021 Public Employee Perception Survey conducted to public officials by the Korea Institute of Public Administration. Public service motivation had a positive effect on innovative behavior and ethical leadership, while ethical leadership had a positive effect on innovative behavior. In addition, ethical leadership mediated the relationship between public service motivation and innovative behavior. Under organizational culture, hierarchical and innovative cultures exhibited moderating effects. The policy and practical implications of these findings are as follows. First, it is important to build ethical leadership in order to retain the national competitiveness of public officials and encourage innovative behaviors that can adapt to changes at public organizations. Second, the competition rate for public service examinations has fallen recently. This may be interpreted as an unfavorable perception of public service bureaucracy among the MZ generation. Consequently, in line with the changing times, the organizations of public officials must adopt to a future-oriented, innovative culture. Third, it is necessary to explore alternative methods for developing an innovative culture, such as giving greater flexibility and autonomy through transfer of authority to public officials who address the public directly.