• 제목/요약/키워드: Individual Level

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개인 건강행태 및 지역보건의료 수준과 치료순응의 관계: 지역사회 건강조사 바탕으로 (A Study on the Relationship between Individual Patient Behavior, Medical Care Level and Therapeutic Compliance: Community Health Survey)

  • 김영란;이태용;박창수
    • 한국산학기술학회논문지
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    • 제17권5호
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    • pp.104-115
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    • 2016
  • 연구목적: 본 연구는 의사로부터 고혈압으로 진단받은 사람들을 대상으로 개인 건강행태 및 지역 보건의료수준이 치료순응에 미치는 영향을 파악하고자 실시하였다. 고혈압 치료순응은 고혈압 약물치료율로 조작적 정의를 하였다. 정의는 의사에게 고혈압을 진단받은 30세 이상 사람 중 현재 혈압 조절약을 한 달(30일)에 20일 이상 복용하고 있는 사람의 분율로 정의하였다. 연구방법: 2010년도 지역사회건강조사대상 만 19세 이상 성인 229,229명을 대상으로 개인특성에 따른 고혈압 치료순응지표의 차이 비교는 카이제곱 검정을 사용하였으며, 개인 및 지역수준 변수를 고려한 고혈압 치료순응의 관련지표의 지역 간 변이 파악은 다수준 로지스틱회귀분석 실시하였다. 통계 프로그램은 SPSS 18.0과 HLM 7(hierarchical linear model)을 이용하였다. 연구결과: 개인 건강행태 및 지역 보건의료수준이 고혈압 치료순응에 미치는 관련성 연구에서 건강행태 및 지역의 보건의료수준에 따라, 치료순응에 미치는 영향이 크다는 것을 알 수 있었다. 결론: 본 연구에서는 지역보건의료 수준의 변수들의 교차비가 높지는 않았지만, 개인수준의 변이에 초점을 맞춘 기존연구와는 달리 지역보건의료수준의 변이를 찾을 수 있었다는데 의의가 있었으며, 추후 많은 연구에서 지역수준을 고려한 다수준 분석이 필요할 것으로 사료된다.

개인 건강행태 및 지역보건의료 수준이 고혈압 의사진단에 미치는 영향 (The Effects of Individual Patient Behavior and Medical Care Level on Doctor's Diagnosis of Hypertension)

  • 박창수;김영란;이태용
    • 한국산학기술학회논문지
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    • 제17권10호
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    • pp.119-130
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    • 2016
  • 본 연구는 의사로부터 고혈압으로 진단받은 사람들을 대상으로 개인 건강행태 및 지역 보건의료수준이 고혈압의사진단에 미치는 영향을 파악하고자 실시하였다. 연구는 2010년도 지역사회건강조사대상 만 19세 이상 성인 229,229명을 대상으로 개인특성에 따른 고혈압 의사진단의 차이 비교는 카이제곱 검정을 사용하였으며, 개인 및 지역수준 변수를 고려한 고혈압 의사진단의 관련지표의 지역 간 변이 파악은 다수준 로지스틱회귀분석를 실시하였다. 연구결과 개인건강행태수준에서 연령수준이 높을수록, 최종학력이 높을수록, 기초생활수급이 무일 때, 체질량지수가 높을수록, 일회음주량이 많을수록 고혈압 의사진단 경험률이 높았다. 또한 보건의료기관을 이용한 사람이, 한 달 동안 혈압측정횟수가 높을수록, 주관적 스트레스 수준이 높을수록, 우울감 경험이 있을 때 고혈압 의사진단 경험률이 높았다. 반면에 고용형태가 임금근로자인 경우, 고용주 및 자영업자에서, 걷기일수가 많을수록, 현재 흡연여부 경험이 적을수록, 민간의료보험에 가입한 사람에서 고혈압 의사진단 경험률이 낮았다. 건강행태 및 지역의 보건의료수준에 따라, 고혈압의사진단에 미치는 영향이 크다는 것을 알 수 있었으며, 추후 많은 연구에서 지역수준을 고려한 다수준 분석이 필요할 것으로 사료된다.

반 정량적 리스크 저감 요소를 고려한 철도 승강장 스크린 도어시스템의 안전 무결성 수준 할당 (Allocation of Safety Integrity Level for Railway Platform Screen Door System considering Semi-Quantitative Risk Reduction Factor)

  • 송기태;이성일
    • 한국안전학회지
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    • 제31권4호
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    • pp.156-163
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    • 2016
  • There exists required safety integrity level (SIL) to assure safety in accordance with international standards for every electrical / electronics / control equipment or systems with safety related functions. The SIL is allocated from lowest level (level 0) to highest level (level 4). In order to guarantee certain safety level that is internationally acceptable, application of methodology for SIL allocation and demonstration based on related international standards is required. However, the theoretical and practical study for safety integrity level is barely under way in the domestic railway industry. This research studied not only the global process of SIL allocation to guarantee safety in accordance with international standards for safety related equipment and system, but the quantitative methodology based on international standard and the semi-quantitative methodology as alternative way for SIL allocation. Specifically, the systematic SIL allocation for platform screen door system of railway is studied applying the semi-quantitative methodology in order to save much time and effort compared to quantitative method.

동료의 과업관련 도움요청과 이들의 특징이 지식공유에 미치는 영향에 관한 연구 (The Effect of Coworkers' Task-related Help Seeking and Their Characteristics on Knowledge Sharing in Coworker Relationship)

  • 김보영;이수진
    • 지식경영연구
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    • 제13권4호
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    • pp.101-116
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    • 2012
  • Knowledge management system is crucial for increasing organizational performance. However, despite this importance of knowledge management system, many companies fail to facilitate individual employees' knowledge sharing. One of reasons for this failure is the lack of consideration of how individual employees' characteristics and their interpersonal relationship influence on individual-level knowledge sharing. To explain individual-level knowledge sharing, this study investigates the mechanism that employees engage in knowledge sharing activities with their coworkers from the social exchange perspective. We have two purposes of study. First, we examine whether coworker's task-related help seeking affects employee's knowledge sharing with them. Second, we investigate the influence of help-seeker' characteristics as moderators on the relationship between task-related help seeking and knowledge sharing. Specifically, we considered coworker's maladjustment, LMX, and ability as moderators. Our analysis of 192 employees shows that the main effect of coworker's task-related help seeking on knowledge sharing is not significant. However, coworker's maladjustment and LMX moderate the relationship between task-related help seeking and knowledge sharing. The positive relationship between task-related help seeking and knowledge sharing is stronger when help seeker's maladjustment is high than when it is low. And the positive relationship between task-related help seeking and knowledge sharing is weaker when help seeker's LMX is high than when LMX is low. The results of this study have theoretical implications that enrich our understanding of individual-level knowledge sharing, and managerial implications that suggest employees' appropriate attitudes to facilitate knowledge sharing in a coworker relationship.

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소방공무원의 스트레스 및 우울의 위험 요인 : 개인 및 직무요인을 중심으로 (Risk Factors for Stress and Depression in Firefighters : Comparison of Individual and Job Related Factors)

  • 이나빈;이정현;김지애;전경선;심민영
    • 대한불안의학회지
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    • 제15권1호
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    • pp.35-44
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    • 2019
  • Objective : The aim of this study was to investigate the individual and job related factors as risk factors for mental health of firefighters. Methods : The data of 202 fire-fighters was analyzed by using a multinomial logistic regression analysis. All participants completed self-reported questionnaires including demographics (sex, age, work duration), the Childhood Trauma Questionnaire, the Ways of Coping Checklist, the Colleague related traumatic events, the Korean occupational stress scale, the Korean Perceived Stress Scale-10, and the Beck Depression Inventory. Participants were divided into three groups according to the level of stress and depressive symptom scores: Low Stress-Low Depression (LS-LD), High Stress-Low Depression (HS-LD), and High Stress-High Depression (HS-HD). Results : A job related factor-organizational injustice-was a significant factor related to HS-LD, while individual factors such as active coping level and childhood trauma experience and a job related factor-difficult physical environment-were significantly associated with HS-HD. Conclusion : These results imply the need to take both individual and environmental approaches into account when managing the stress and depression of firefighters. More specifically, psycho-education to facilitate active coping strategy and adaptive emotional regulation at the individual level and the improvement of physical work environment of firefighters should be supported.

국내 돼지오제스키병의 혈청학적 감시활동(surveillance)을 위한 표본크기 (Sample size for serological surveillance of Aujeszky's disease in Korea)

  • 김으뜸;박선일;박최규;권창희
    • 대한수의학회지
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    • 제47권4호
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    • pp.417-423
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    • 2007
  • Serological surveillance programs in animal populations are becoming increasingly important to estimate prevalence of a specific disease and subsequently to document disease-free status in a region or a country. For these purposes, the programs need to be based on both theoretical and economical aspects from the designing phase. From Aujeszky's disease (AD)-eradication program point of view, group of animals (aggregates, herds) not individual animal is the more important sampling unit of concern. In this study the authors therefore attempted to compute an appropriate sample size tailored to a current surveillance program against AD, assuming that the goal of this program is either herd-level prevalence estimation or documentation of AD-freedom. For prevalence estimation, assuming a finite population with imperfect sensitivity (Se) and specificity (Sp) of ELISA kit for AD diagnosis, the number of herds present, expected herd prevalence, and desired accuracy for a certain level of confidence, sample size was estimated at herd-level in the first stage and individual animal-level in the second stage. A two-stage sampling design was used to calculate a sample size to indicate AD-freedom. In this instance, the computation was based on the possible detection of a predetermined prevalence at a certain herd-level Se and Sp. This study indicated that the sample size varied with predetermined confidence, tolerance, Se and Sp at herd- and animal-level, and within- and among-herd prevalence. In general, smaller sample size was required to estimate AD prevalence than to document of AD-freedom. Compared to individual-based samples, two-stage sampling strategy requires a larger sample size to show disease-freedom. Statistical considerations including herd-level test characteristics when designing surveillance program also are further discussed.

A novel watermarking scheme for authenticating individual data integrity of WSNs

  • Guangyong Gao;Min Wang
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제17권3호
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    • pp.938-957
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    • 2023
  • The limited computing power of sensor nodes in wireless sensor networks (WSNs) and data tampering during wireless transmission are two important issues. In this paper, we propose a scheme for independent individual authentication of WSNs data based on digital watermarking technology. Digital watermarking suits well for WSNs, owing to its lower computational cost. The proposed scheme uses independent individual to generate a digital watermark and embeds the watermark in current data item. Moreover, a sink node extracts the watermark in single data and compares it with the generated watermark, thereby achieving integrity verification of data. Inherently, individual validation differs from the grouping-level validation, and avoids the lack of grouping robustness. The improved performance of individual integrity verification based on proposed scheme is validated through experimental analysis. Lastly, compared to other state-of-the-art schemes, our proposed scheme significantly reduces the false negative rate by an average of 5%, the false positive rate by an average of 80% of data verification, and increases the correct verification rate by 50% on average.

The Role of IT Usage in Mediating the Relationship between Knowledge Sharing and Academics Performance

  • Naief G Azyabi
    • Asia pacific journal of information systems
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    • 제28권3호
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    • pp.167-182
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    • 2018
  • The purpose of this study is to investigate the relationship between knowledge sharing and academic performance in the context of quality-assurance related work. It furthermore aims to explore the role of information technology in mediating this relationship. Quantitative method was applied to collect data from the participants using an online-based questionnaire. Convenience sampling technique was used. The responses were collected from 140 participants in a university from Saudi Arabia. The study found a strong positive relationship between knowledge sharing and individual performance. It was also found out that information technology partially mediates the relationship between knowledge sharing and individual performance. The research unearths the significant contribution made by information technology in mediating the relationship between individual-level knowledge sharing and the individual performance. This helps to understand the positive impacts on individual work performance in institutions of higher education that would be derived if individuals use various forms of IT to share knowledge. The focus of the research is the individual performance as the pertinent contribution towards positive outcomes in institutional performance.

다수준 분석을 이용한 요양병원 서비스 질에 영향을 미치는 요인 분석 (Multi-level Analysis of Factors related to Quality of Services in Long-term Care Hospitals)

  • 이선희
    • 대한간호학회지
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    • 제39권3호
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    • pp.409-421
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    • 2009
  • Purpose: In this research multi-level analysis was done to identify factors related to quality of services. Patient characteristics and organizational factors were considered. Methods: The data were collected from the Health Insurance Review and Assessment Service(HIRA) data base. The sample was selected from 17,234 patients who had been admitted between January 2007 and May 2008 to one of 253 long-term care hospitals located in Seoul, six other metropolitan cities or nine provinces The data were analyzed with SAS 9.1 using multi-level analysis. Results: The results indicated that individual level variables related to quality of service were age, cognitive ability, patient classification, and initial quality scores. The organizational level variables related to quality of service were ownership, number of beds, and turnover rate. The explanatory power of variables related to organizational level variances in quality of service was 23.72%. Conclusion: The results of this study indicate that differences in the quality of services were related to organizational factors. It is necessary to consider not only individual factors but also higher-level organizational factors such as nurse' welfare and facility standards if quality of service in long term care hospitals is to be improved.

중국소비자의 문화성향이 SNSs 구전행동에 미치는 영향 (The Impact of Chinese Cultural Dispositions on the SNS eWOM Behavior)

  • 이유경
    • 국제지역연구
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    • 제15권3호
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    • pp.493-511
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    • 2011
  • 본 연구는 중국소비자들의 문화성향이 SNSs(Social Networking Sites)에서의 온라인 구전(eWOM) 행동에 어떠한 영향을 미치는 가를 분석하기 위해 실시되었다. 실증분석 결과 나타난 결과를 요약하면 다음과 같다. 첫째, 중국소비자의 집단주의 성향과 SNSs에서의 eWOM 행동 간의 관계에 관한 가설1, 2, 3을 실증 분석한 결과, 중국소비자의 집단주의성향은 SNS에서의 의견탐색행동과 통계적으로 유의한 정(+)의 관계를 가지는 것으로 나타나 가설1은 채택되었다. 그러나 중국소비자의 집단주의 성향과 의견선도 및 의견전달행동 간의 관계에 대한 가설2와 가설3은 통계적으로도 유의하지 않아 기각되었다. 다음으로 중국소비자의 불확실성 회피성향과 SNSs에서의 온라인 구전행동 간의 관계에 대한 가설4, 5, 6은 모두 가설에서 설정한 방향과 동일한 방향성을 가지는 것으로 나타났다. 마지막으로 의견탐색행동, 의견선도행동, 의견전달행동 간의 관계에 대한 가설7, 8, 9에 대한 검정결과, 의견선도행동이 의견전달행동에 정(+)의 영향을 미치는 것으로 나타났다. 본 연구의 결과는 중국시장에서 SNSs를 활용한 마케팅 전략의 성공 가능성을 높이기 위해, 중국소비자의 어떠한 문화적 성향에 초점을 맞춰야 할 것인가에 대한 실무적 함의점을 제공 할 수 있을 것으로 기대된다.