• Title/Summary/Keyword: Internal Factor

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Correlation between Lumbar Malposition and Disc Herniation in Lumbar Disc Herniation Patients: Focused on L4-L5, L5-S1 (요추 추간판 탈출 환자에서 나타나는 요추부 변위와 추간판 탈출의 상관관계: L4-L5, L5-S1 요추 간 추간판 탈출을 중심으로)

  • Yeon-Hoo Yi;Da-woon Song;Jae-Min Jeong;Tae-ha Kwon;Sae-young Bong;Yoo-jin Lee;Jin-Bong Choi
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.4
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    • pp.185-193
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    • 2023
  • Objectives This study was conducted to find out the correlation between lumbar malposition and lumbar disc herniation. Methods Among the patients who visited Gwangju Jaseng Hospital of Korean Medicine from January 2019 to January 2021, taking 92 patients under age 60 who had the records of X-rays and magnetic resonance imaging (MRI) images as the research subjects, Cobb's angle was measured in anterior-posterior (AP) view and lateral (LAT) view, the number of displacements was scored by listing categories defined by The Korean Society of Chuna Manual Medicine for Spine and Nerves. The degree of lumbar intervertebral disc herniation was expressed as a percentage according to the method of Kato, etc., and the correlation between each factor was analyzed. Results AP curvature and MRI herniation index showed significant positive correlation in L4-L5 level but there was no significant difference in L5-S1 level. LAT curvature and MRI herniation index had no correlation in L4-L5 level, but there was a significant negative correlation in L5-S1 level. Malposition score and MRI herniation index had a significant positive correlation in L5-S1 level, whereas there was no correlation in L4-L5. Conclusions As a result of the study, AP curvature and MRI herniation index showed a significant positive tendency in L4-L5 lumbar spine, and LAT curvature and MRI herniation index showed a significant negative tendency in L5-S1 lumbar spine. Malposition score and MRI herniation index were found to have a significant positive tendency in L5-S1 lumbar spine.

Validation and Development of the Driving Stress Scale (운전 스트레스 척도(Driving Stress Scale: DSS)의 개발과 타당화 연구)

  • Soon yeol Lee;Soon chul Lee
    • Korean Journal of Culture and Social Issue
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    • v.14 no.3
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    • pp.21-40
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    • 2008
  • This study was intended to validate and develop the driving stress scale. In a preliminary investigation, literature studies on the stress and open questionnaire were administered and examined in four regions in Korea. As a result, 121 items driving stress questionnaire were developed. In the study, this driving stress questionnaire was examined to 450 drivers located seven regions in Korea. The factors analysis revealed 5 meaningful factors[(Progress Obstacle: PO), (Traffic Circumstance: TC), (Accident & Regulation: AR), (Regulation Observance: RO), (Time Pressure: TP)] with 38 items. When internal consistency for each 5 factor was calculated, all sub-scale revealed a satisfactory level of Cronbach's α. Also, correlations with Driving Behaviour Inventory-General Driver Stress(DBI-GEN) and risk driving behaviors(speed driving, drunken driving, offence accident, defence accident) supported consistently validity of the Driving Stress Scale(DSS). Finally the result were discussed and implications are suggested for future studies.

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The Change of Traffic Accident Risk Degree by Driving Stress Coping Patterns (운전스트레스 대처방식에 따른 교통사고 위험의 변화)

  • Soon yeol Lee ;Soon chul Lee
    • Korean Journal of Culture and Social Issue
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    • v.15 no.3
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    • pp.431-446
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    • 2009
  • This study was intended to validate and develop the driving stress coping behavior scale. In a preliminary investigation, literature studies on the driving stress and open questionnaire were administered and examined in four regions in Korea. As a result, 64 items driving stress questionnaire were developed. In the study, this Driving Stress Coping Behavior Scale(DS-CBS) was examined to 372 drivers located seven regions in Korea. The factors analysis revealed 2 meaningful factors[(Good Coping: GC), (Bad Coping: BC) with 24 items. When internal consistency for each 2 factor was calculated, all sub-scale revealed a satisfactory level of Cronbach's α. Also, correlations with Driver Coping Questionnaire(DCQ) and risk driving behaviors(speed driving, drunken driving, traffic violation, offence accident, defence accident) supported consistently validity of the Driving Stress Coping Behavior Scale(DS-CBS). Also, We investigated the influences of 'Good Coping', 'Bad Coping' consisting of driving stress coping behavior, on traffic accidents risk. As a result, 'Good Coping' and 'Bad Coping' influenced traffic accidents risk. 'Good Coping' had decreased effects, the other side 'Bad Coping' had increased effects on traffic accidents risk(TARI).

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The Relationship between Personality and Subjective Well-being: Focused on Big 5 Personality Factors and BAS/BIS (성격과 주관적 웰빙 간의 관계: Big 5 성격요인과 BAS/BIS를 중심으로)

  • Kyung-Hyun Suh;Jung-Ho Kim;Jhe-Min You
    • Korean Journal of Culture and Social Issue
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    • v.15 no.1
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    • pp.169-186
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    • 2009
  • This study aims to investigate the relationship between personality, especially temperament and subjective well-being. The participants were 681 college students (211 males and 470 females), whose ages ranged from 17 to 37 (M=20.91, SD=2.36). The instruments utilized in the present study were Korean Version of BAS/BIS Scale, The Big Five Locator, Satisfaction with Life Scale, Life Satisfaction Motivation Scale, Life Satisfaction Expectancy Scale, Emotion Frequency Test, and Subjective Happiness Scale. Result indicated that women expected more positive future than men did, while no gender differences were found in any other well-being variables. Correlational analyses revealed that emotional stability and extroversion were closely associated with life satisfaction, happiness, positive and negative emotion, whereas behavioral activation system (BAS) and behavioral inhibition system (BIS) were more closely associated with motivation to live and expectancy of satisfactory life. There was close relationship between conscientiousness and subjective well-being, because they were college students. As a internal factor, personality was better predictor for subjective well-being of female students. For instance, it accounted for around 35% variance of female's subjective happiness. The present findings reiterate the role of personality in quality of life, and it was discussed with characteristics of subjects, situational factors, and previous studies.

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Predictors of Good Outcomes in Patients with Failed Endovascular Thrombectomy

  • Hyungjong Park;Byung Moon Kim;Jang-Hyun Baek;Jun-Hwee Kim;Ji Hoe Heo;Dong Joon Kim;Hyo Suk Nam;Young Dae Kim
    • Korean Journal of Radiology
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    • v.21 no.5
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    • pp.582-587
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    • 2020
  • Objective: Endovascular thrombectomy (EVT) fails in approximately 20% of anterior circulation large vessel occlusion (AC-LVO). Nonetheless, the factors that affect clinical outcomes of non-recanalized AC-LVO despite EVT are less studied. The purpose of this study was to identify the factors affecting clinical outcomes in non-recanalized AC-LVO patients despite EVT. Materials and Methods: This was a retrospective analysis of clinical and imaging data from 136 consecutive patients who demonstrated recanalization failure (modified thrombolysis in cerebral ischemia [mTICI], 0-2a) despite EVT for AC-LVO. Data were collected in prospectively maintained registries at 16 stroke centers. Collateral status was categorized into good or poor based on the CT angiogram, and the mTICI was categorized as 0-1 or 2a on the final angiogram. Patients with good (modified Rankin Scale [mRS], 0-2) and poor outcomes (mRS, 3-6) were compared in multivariate analysis to evaluate the factors associated with a good outcome. Results: Thirty-five patients (25.7%) had good outcomes. The good outcome group was younger (odds ratio [OR], 0.962; 95% confidence interval [CI], 0.932-0.992; p = 0.015), had a lower incidence of hypertension (OR, 0.380; 95% CI, 0.173-0.839; p = 0.017) and distal internal carotid artery involvement (OR, 0.149; 95% CI, 0.043-0.520; p = 0.003), lower initial National Institute of Health Stroke Scale (NIHSS) (OR, 0.789; 95% CI, 0.713-0.873; p < 0.001) and good collateral status (OR, 13.818; 95% CI, 3.971-48.090; p < 0.001). In multivariate analysis, the initial NIHSS (OR, 0.760; 95% CI, 0.638-0.905; p = 0.002), good collateral status (OR, 14.130; 95% CI, 2.264-88.212; p = 0.005) and mTICI 2a recanalization (OR, 5.636; 95% CI, 1.216-26.119; p = 0.027) remained as independent factors with good outcome in non-recanalized patients. Conclusion: Baseline NIHSS score, good collateral status, and mTICI 2a recanalization remained independently associated with clinical outcome in non-recanalized patients. mTICI 2a recanalization would benefit patients with good collaterals in non-recanalized AC-LVO patients despite EVT.

Japanese mold technology revolutionizing the mold industry (금형 산업을 변혁하는 일본의 금형 기술)

  • Jeong-Won Lee;Yong-Dae Kim;Sung-Hee Lee
    • Design & Manufacturing
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    • v.17 no.3
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    • pp.21-27
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    • 2023
  • The mold industry in Japan, an advanced country in the mold industry, is also at a point of great change. The main causes are the Ukraine crisis and the collapse of the global supply chain (parts supply chain) caused by COVID-19. In addition, the prices of overseas products are rising sharply due to rapid exchange rate fluctuations (decrease in the value of the yen). Until now, Japan's monotsukuri industry has been actively pursuing overseas expansion, riding the trend of globalization. However, the trend began to rapidly reverse, and now the monotsukuri industry that had expanded overseas is showing a tendency to return to Japan. Another factor of change is the change in the automobile industry, which is the most demanded product in the mold industry. As the automobile industry evolves from gasoline cars to electric cars, the number of parts that make up a car will drastically decrease. This trend is expected to increase the demand for small-scale production of a variety of products in the mold industry, and furthermore, it is expected that short delivery times will be required in parts development. As in Korea, the production population working in the mold industry is rapidly decreasing in Japan as well. Even if you add up the total population working in manufacturing in Japan, it only accounts for about 15%. Even in Japan, it is judged that it will be difficult to sustain the monotsukuri industry with this small production population. Therefore, since improvement in production efficiency cannot be expected with the same manual dexterity as before, the mold industry is also demanding the development of mold technology at a different level than before to increase productivity. In this paper, I would like to introduce new Japanese mold technology collected through attending the Intermold exhibition. This is an example of applying a dedicated pin (Gastos) to a mold to prevent an increase in internal pressure during plastic injection molding, and a deep drawing press molding technology with an inherent hydraulic function.

An Analysis on the Impact of Information Technology Usage on the Social Capital and Innovation Performance in an Industrial Cluster: Based on the PanGyo Technovalley (정보기술 활용이 사회적 자본과 산업 클러스터 혁신성과에 미치는 영향 분석: 판교 테크노벨리를 중심으로)

  • Yeonsoon Kim;Seonyoung Shim
    • Information Systems Review
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    • v.19 no.4
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    • pp.43-62
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    • 2017
  • This study investigates the effect of bonding and bridging social capital on the technological innovation performance in the Pangyo Techno Valley. In particular, we consider the information technology (IT) usage in industrial cluster as an antecedent of social capital. IT instigates the intra and extra communication and information sharing between employees, thereby promoting the formation of a network of various members. Results show that the IT usage factor positively affects both bridging and bonding social capital, but an evident difference exists among the effects of social capital on the technological innovation performance. In case of Pangyo industrial cluster, bridging social capital exerts significant effect on the technological innovation performance, whereas bonding social capital shows insignificance. Bridging social capital is composed of the interactions of various networks. Bonding social capital is based on the strong tie from trust and internal cooperation. Results are related with the characteristics of Pangyo Techno Valley, where various IT ventures need active communication and information sharing with other organizations for technological innovation performance.

Utility of the APACHE II score as a neurological prognostic factor for glufosinate-intoxicated patients with alert mental status (의식이 명료한 글루포시네이트 중독환자의 신경학적 예후인자로서 APACHE II의 유용성)

  • Rok Lee;Tae Yong Shin;Hyung Jun Moon;Hyun Jung Lee;Dongkil Jeong;Dongwook Lee;Sun In Hong;Hyun Joon Kim
    • Journal of The Korean Society of Clinical Toxicology
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    • v.21 no.2
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    • pp.135-142
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    • 2023
  • Purpose: In patients with glufosinate poisoning, severe neurological symptoms may be closely related to a poor prognosis, but their appearance may be delayed. Therefore, this study aimed to determine whether the Acute Physiology and Chronic Health Evaluation II (APACHE II) score could predict the neurological prognosis in patients with glufosinate poisoning who present to the emergency room with alert mental status. Methods: This study was conducted retrospectively through a chart review for patients over 18 years who presented to a single emergency medical center from January 2018 to December 2022 due to glufosinate poisoning. Patients were divided into groups with a good neurological prognosis (Cerebral Performance Category [CPC] Scale 1 or 2) and a poor prognosis (CPC Scale 3, 4, or 5) to identify whether any variables showed significant differences between the two groups. Results: There were 66 patients (67.3%) with good neurological prognoses and 32 (32.8%) with poor prognoses. In the multivariate logistic analysis, the APACHE II score, serum amylase, and co-ingestion of alcohol showed significant results, with odds ratios of 1.387 (95% confidence interval [CI], 1.027-1.844), 1.017 (95% CI, 1.002-1.032), and 0.196 (95% CI, 0.040-0.948), respectively. With an APACHE II score cutoff of 6.5, the AUC was 0.826 (95% CI, 0.746-0.912). The cutoff of serum amylase was 75.5 U/L, with an AUC was 0.761 (95% CI, 0.652-0.844), and the AUC of no co-ingestion with alcohol was 0.629 (95% CI, 0.527-0.722). Conclusion: The APACHE II score could be a useful indicator for predicting the neurological prognosis of patients with glufosinate poisoning who have alert mental status.

A Study on the Quality of Healthcare Services for Four Critical Illnesses and the Maintenance of Right to Protection and Dignity in a Senior General Hospital (상급종합병원의 4대 중증질환 의료 서비스 품질과 보호받을 권리 및 존엄성 유지에 관한 연구)

  • Woojin Lee;Minsuk Shin
    • Journal of Korean Society for Quality Management
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    • v.51 no.4
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    • pp.531-550
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    • 2023
  • Purpose: The unique nature of life-and-death healthcare services sets them apart from other service industries. While many studies exist on the relationship between healthcare services and customer satisfaction, most of them focus on mildly ill patients, ignoring the differences between critically ill and non-seriously ill patients. This study discusses the actual quality of healthcare services for patients who are facing life-threatening illnesses and are on life support, as well as their right to protection and dignity. Methods: The survey conducted to 149 patients with the four major illnesses: cancer, heart disease, brain disease and rare and incurable disease, those who have experiences with senior general hospitals. Results: The basic statistics of this study are adequate to represent the four major critical illnesses, and the reliability and validity of this study's hypotheses, which were measured by multiple items, were analyzed, and the internal consistency was judged to be high. In addition, it was found that the convergent validity was good and the discriminant validity was also secured. When examining the goodness of fit of the hypotheses, the SRMR, which is the standardized root mean square of residuals that measures the difference between the covariance matrix of the data variables and the theoretical covariance matrix structure of the model, met the optimal criteria. Conclusion: The academic implications of this study are differentiated from other studies by moving away from evaluating the quality of healthcare services for mildly ill patients and focusing on the rights and dignity of patients with life-threatening illnesses in four senior general hospitals. In terms of academic implications, this study enriches the depth of related studies by demonstrating the right to protection and dignity as a factor of patient-centeredness based on physical environment quality, interaction quality, and outcome quality, which are presented as sub-factors of healthcare quality. We found that the three quality factors classified by Brady and Cronin (2001) are optimized for healthcare quality assessment and management, and that the results of patients' interaction quality assessment can be used to provide a comprehensive quality rating for hospitals. Health and human rights are inextricably linked, so assessing the degree to which rights and dignity are protected can be a superior and more comprehensive measurement tool than traditional health level measures for healthcare organizations. Practical implications: Improving the quality of the physical environment and the quality of outcomes is an important challenge for hospital managers who attract patients with life and death conditions, but given the scale and economics of time, money, and human inputs, improving the quality of interactions and defining them as performance indicators in hospital quality management is an efficient way to create maximum value in the short term.

Research on Supplier's Absorptive Capacity, Knowledge Creation, Intellectual Capital and Competitive Advantage (공급업체의 흡수능력, 지식창출, 지적자본 및 경쟁우위에 관한 연구)

  • Si-Chao Wang;Yan-Nan Li
    • Journal of Digital Convergence
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    • v.21 no.3
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    • pp.1-14
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    • 2023
  • This raises the question of how competitive advantage can be created, prompting firms to enhance their capacity for change. In this context, the role of knowledge creation becomes increasingly vital. This research aims to explore the role of intellectual capital and how to improve knowledge cration ability through absorptive capacity framework. It examines the links among knowledge acquisition, learning of new knowledge, knowledge creation, intellectual capital, and competitive advantage, drawing from both internal and external sources. The study focuses on small and medium-sized supplier firms in Korea, with data collected from 15 industries, totaling 106 responses. The research model employs structural equation modeling (SEM) and utilizes AMOS 22 for analysis. As anticipated, all hypotheses were supported. The study provides robust evidence that absorptive capacity is a pivotal factor in cultivating suppliers' competitive advantage. Furthermore, it posits that intellectual capital should be viewed as a criucial component of suppliers' knowledge stock, significantly enhancing the impact of absorptive capacity on their competitive edge. Future studies should aim to validate the research model in different international settings or across multinational corporations to enhance its generalizabulity.