• Title/Summary/Keyword: Multi-level regression

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Impact of Health Insurance Type on the Quality of Hemodialysis Services: A Multilevel Analysis (의료보장 형태가 혈액투석 서비스 제공에 미치는 영향에 대한 다수준 분석)

  • Jung, Jin-Hee;Kwon, Soon-Man;Kim, Kyoung-Hoon;Lee, Seon-Kyoung;Kim, Dong-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.3
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    • pp.245-256
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    • 2010
  • Objectives: This study aims to compare quality indicators for the hemodialysis services between patients with health insurance and those with medical aid. Methods: This study used data from sampled hospitals that provided a hemodialysis service. A total of 2287 patients were selected, and the information for hemodialysis service has been granted from medical record reviews. A multi-level regression analysis was used to examine the differences in process and outcome indicators for hemodialysis between patients with health insurance and those with medical aid. Process indicators were defined as: frequency of hemodialysis, hemodialysis time, erythropoietin (EPO) use, measurement of hemodialysis dose at least once a month, measurement of phosphate at least once every three months, and measurement of albumin at least once every three months. Outcome indicators were defined as: hemodialysis adequacy, anemia management, blood pressure management, and calcium, phosphate and nutrition management. The total scores for outcome indicators ranged from 0 (worst) to 4 (best). Results: There was a significant difference in the measurement of hemodialysis dose at least once a month between patients with health insurance and those with medical aid (OR 0.66, 95% CI = 0.43 - 0.99). However, frequency of hemodialysis, hemodialysis time, EPO use, measurement of phosphate at least once every three months, measurement of albumin at least once every three months, hemodialysis adequacy management, Hb${\geq}$11 g/dL, blood pressure within the range of 100-140 /60-90 mmHg, calcium x phosphate${\leq}$55 $g^2/dL^2$ and albumin${\geq}$4 g/dL were not significantly different between the groups. Conclusions: There were no significant differences in outcome indicators for hemodialysis between the groups. Further studies are warranted into the mechanism that results in no differences in the outcome indicators for hemodialysis.

Effectiveness and Safety of Tranexamic Acid in Spinal Deformity Surgery

  • Choi, Ho Yong;Hyun, Seung-Jae;Kim, Ki-Jeong;Jahng, Tae-Ahn;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • v.60 no.1
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    • pp.75-81
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    • 2017
  • Objective : Spinal deformity surgery has the potential risk of massive blood loss. To reduce surgical bleeding, the use of tranexamic acid (TXA) became popular in spinal surgery, recently. The purpose of this study was to determine the effectiveness of intra-operative TXA use to reduce surgical bleeding and transfusion requirements in spinal deformity surgery. Methods : A total of 132 consecutive patients undergoing multi-level posterior spinal segmental instrumented fusion (${\geq}5$ levels) were analyzed retrospectively. Primary outcome measures included intraoperative estimated blood loss (EBL), transfusion amount and rate of transfusion. Secondary outcome measures included postoperative transfusion amount, rate of transfusion, and complications associated with TXA or allogeneic blood transfusions. Results : The number of patients was 89 in TXA group and 43 in non-TXA group. There were no significant differences in demographic or surgical traits between the groups except hypertension. The EBL was significantly lower in TXA group than non-TXA group (841 vs. 1336 mL, p=0.002). TXA group also showed less intra-operative and postoperative transfusion requirements (544 vs. 812 mL, p=0.012; 193 vs. 359 mL, p=0.034). Based on multiple regression analysis, TXA use could reduce surgical bleeding by 371 mL (37 % of mean EBL). Complication rate was not different between the groups. Conclusion : TXA use can effectively reduce the amount of intra-operative bleeding and transfusion requirements in spinal deformity surgery. Future randomized controlled study could confirm the routine use of TXA in major spinal surgery.

Improved Method of Suitability Classification for Sesame (Sesamum indicum L.) Cultivation in Paddy Field Soils

  • Chun, Hyen Chung;Jung, Ki Yuol;Choi, Young Dae;Lee, Sanghun
    • Korean Journal of Soil Science and Fertilizer
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    • v.50 no.6
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    • pp.520-529
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    • 2017
  • In Korea, the largest agricultural lands are paddy fields which have poor infiltration and drainage properties. Recently, Korean government pursuits cultivating upland crops in paddy fields to reduce overproduced rice in Korea. In order to succeed this policy, it is critical to set criteria suitability classification for upland crops cultivating in paddy field soils. The objective of this study was developing guideline of suitability classification for sesame cultivation in paddy field soils. Yields of sesame cultivated in paddy field soils and soil properties were investigated at 40 locations at nationwide scale. Soil properties such as topography, soil texture, soil moisture contents, slope, and drainage level were investigated. The guideline of suitability classification for sesame was determined by multi-regression method. As a result, sesame yields had the greatest correlation with topography, soil moisture content, and slope. Since sesame is sensitive to excessive soil moisture content, paddy fields with well drained, slope of 7-15% and mountain foot or hill were best suit for cultivating sesame. Sesame yields were greater with less soil moisture contents. Based on these results, area of best suitable paddy field land for sesame was 161,400 ha, suitable land was 62,600 ha, possible land was 331,600 ha, and low productive land was 1,075,500 ha. Compared to existing suitability classification, the new guideline of classification recommended smaller area of best or suitable areas to cultivate sesame. This result may suggest that sesame cultivation in paddy field can be very susceptible to soil moisture contents.

The Convergent Influence of MultiCultural Acceptability, Empathy and Global Citizenship in Nursing Students (간호대학생의 다문화수용성, 공감능력이 세계시민의식에 미치는 융합적 영향)

  • Ko, Jin-Hee;Kang, Myung-Ju;Kim, Hye-Jin
    • Journal of Convergence for Information Technology
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    • v.9 no.9
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    • pp.108-116
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    • 2019
  • This study is a descriptive survey study intended to analyze the relationship between multicultural acceptability, empathy, and global citizenship of nursing students and identify the factors influencing global citizenship. The data was collected targeting 187 nursing students at universities located in the cities of B, U, and S. The collected data was analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression analysis. The results were as follows: global citizenship of nursing students was positively correlated with multicultural acceptability and empathy. Factors influencing the level of global citizenship were empathy, multicultural acceptability, which together explained 40.0% of the total variance in global citizenship. Consequently, this study raises the need for the development and application of steady practical programs and various learning methods for the enhancement of global citizenship, which is required in the fields of nursing education where global competence is considered to be important.

Employment Effects of Workplace Innovation (작업장혁신의 고용효과)

  • Nho, Yong-Jin
    • Korean Journal of Labor Studies
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    • v.23 no.2
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    • pp.141-167
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    • 2017
  • This study carries out an empirical analysis of how workplace innovation affects employment growth. The theoretical model and hypotheses of this study are drawn from the previous research on the employment effects of innovation. I use the data on Workplace Innovation Indicators(2013-14) collected by Labor Foundation. As the regression models for this study, I adopt OLS models whose dependent variable is employment growth rate, and whose main independent variables are the adoption and the intensity(standardized values) of three innovative work practices such as TQM, employee suggestion plans and multi-skill training programs. The results of this study indicate that the adoption of workplace innovation does not have significant effects on employment growth, but that the intensity of workplace innovation has weakly positive effects on employment growth. Besides, the results of this demonstrate show that government-subsided organizational innovation consulting and training hours per capita have positive employment effects, but that wage level and prior employment size have negative ones. Finally the empirical results are outlined, and their limitations and the future direction of research on this topic are discussed.

Sexual Intercourse Related Factors of Adolescents (청소년의 성관계 경험 관련요인)

  • Kim, Jong-Gun
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.1
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    • pp.59-67
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    • 2021
  • Purpose : This study examined the factors related to sexual intercourse among adolescents in South Korea. Methods : The study sample was comprised of 65,528 middle and high school students aged 12 to 18 years in 2016. For this study, using the data from the 12th Korea youth risk behavior web-based survey, a chi-squared test, and hierarchical logistic regression analysis we reconducted with the SPSS 22.0 program considering personal, family, school, and regional characteristics. Results : The proportion of adolescents who had sexual intercourse was 6.0 % of boys and 2.7 % of girls, and 6.3 % of high school students and 2.4 % of middle school students. The statistically significant related factors of sexual intercourse were gender, grade, attempted suicide, ever drinking, ever smoking, habitual or purposeful drug use, weekly allowance, and coed school in the final model 4. Adolescents with suicide attempts had 2.49 times more sexual intercourse than adolescents with no experience of suicide attempts. Compared to adolescents without alcohol, smoking, and habitual drug use, those who have experienced alcohol, smoking, habitual or purposeful drug use were 2.22 times, 3.76 times, and 3.39 times more likely to have had sexual intercourse, respectively. Adolescents with a weekly allowance of more than 100,000 won per week and adolescents in coed schools were 2.84 times and 1.40 times more likely to have had sexual intercourse, respectively. Conclusion : Multi-level interventions should be considered in school sexual education programs while considering the substantiality of sex education and the actual adolescents' needs. In addition, sexual health interventions in cyberspace for high-risk groups may be needed to consider the emotional and mental characteristics, given the factors related to sexual intercourse in adolescents.

Soil moisture estimation of YongdamDam watershed using vegetation index from Sentinel-1 and -2 satellite images (Sentinel-1 및 Sentinel-2 위성영상기반 식생지수를 활용한 용담댐 유역의 토양수분 산정)

  • Son, Moobeen;Chung, Jeehun;Lee, Yonggwan;Woo, Soyoung;Kim, Seongjoon
    • Proceedings of the Korea Water Resources Association Conference
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    • 2021.06a
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    • pp.161-161
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    • 2021
  • 본 연구에서는 금강 상류의 용담댐 유역(930.0 km2)을 대상으로 Sentinel-1 SAR(Synthetic Aperture Radar) 및 Sentinel-2 MultiSpectral Instrument(MSI) 위성영상을 활용한 토양수분 산출연구를 수행하였다. 연구에 사용된 자료는 10 m 해상도의 Sentinel-1 IW(Interferometric Wide swath) mode GRD(Ground Range Detected) product의 VV(Vertical transmit-Vertical receive) 및 VH(Vertical transmit-Horizontal receive) 편파자료와 Sentinel-2 Level-2A Bottom of Atmosphere(BOA) reflectance 자료를 2019년에 대해 각 6일 및 5일 간격으로 구축하였다. 위성영상의 Image processing은 SNAP(SentiNel Application Platform)을 활용하여 Sentinel-1 영상의 편파 별(VV, VH) 후방산란계수와 Sentinel-2의 적색(Band-4) 및 근적외(Band-8) 영상을 생성하였다. 토양수분 산출 모형은 다중선형회귀모형(Multiple Linear Regression Model)을 활용하였으며, 각 지점에 해당하는 토양 속성별로 모형을 생성하였다. 모형의 입력자료는 Sentinel-1 위성의 편파별 후방산란계수, Sentinel-1 위성에서 산출된 식생지수 RVI(Radar Vegetation Index)와 Sentinel-2 위성에서 산출된 NDVI(Normalized Difference Vegetation Index)를 활용하여 식생의 영향을 반영하고자 하였다. 모의 된 토양수분을 검증하기 위해 6개 지점의 TDR(Time Domain Reflectometry) 기반 실측 토양수분 자료를 수집하고, 상관계수(Correlation Coefficient, R), 평균제곱근오차(Root Mean Square Error, RMSE) 및 IOA(Index of Agreement)를 활용하여 전체 기간 및 계절별로 나누어 검증할 예정이다.

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Analysis of Empirical Multiple Linear Regression Models for the Production of PM2.5 Concentrations (PM2.5농도 산출을 위한 경험적 다중선형 모델 분석)

  • Choo, Gyo-Hwang;Lee, Kyu-Tae;Jeong, Myeong-Jae
    • Journal of the Korean earth science society
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    • v.38 no.4
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    • pp.283-292
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    • 2017
  • In this study, the empirical models were established to estimate the concentrations of surface-level $PM_{2.5}$ over Seoul, Korea from 1 January 2012 to 31 December 2013. We used six different multiple linear regression models with aerosol optical thickness (AOT), ${\AA}ngstr{\ddot{o}}m$ exponents (AE) data from Moderate Resolution Imaging Spectroradiometer (MODIS) aboard Terra and Aqua satellites, meteorological data, and planetary boundary layer depth (PBLD) data. The results showed that $M_6$ was the best empirical model and AOT, AE, relative humidity (RH), wind speed, wind direction, PBLD, and air temperature data were used as input data. Statistical analysis showed that the result between the observed $PM_{2.5}$ and the estimated $PM_{2.5}$ concentrations using $M_6$ model were correlations (R=0.62) and root square mean error ($RMSE=10.70{\mu}gm^{-3}$). In addition, our study show that the relation strongly depends on the seasons due to seasonal observation characteristics of AOT, with a relatively better correlation in spring (R=0.66) and autumntime (R=0.75) than summer and wintertime (R was about 0.38 and 0.56). These results were due to cloud contamination of summertime and the influence of snow/ice surface of wintertime, compared with those of other seasons. Therefore, the empirical multiple linear regression model used in this study showed that the AOT data retrieved from the satellite was important a dominant variable and we will need to use additional weather variables to improve the results of $PM_{2.5}$. Also, the result calculated for $PM_{2.5}$ using empirical multi linear regression model will be useful as a method to enable monitoring of atmospheric environment from satellite and ground meteorological data.

Coastal Shallow-Water Bathymetry Survey through a Drone and Optical Remote Sensors (드론과 광학원격탐사 기법을 이용한 천해 수심측량)

  • Oh, Chan Young;Ahn, Kyungmo;Park, Jaeseong;Park, Sung Woo
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.29 no.3
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    • pp.162-168
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    • 2017
  • Shallow-water bathymetry survey has been conducted using high definition color images obtained at the altitude of 100 m above sea level using a drone. Shallow-water bathymetry data are one of the most important input data for the research of beach erosion problems. Especially, accurate bathymetry data within closure depth are critically important, because most of the interesting phenomena occur in the surf zone. However, it is extremely difficult to obtain accurate bathymetry data due to wave-induced currents and breaking waves in this region. Therefore, optical remote sensing technique using a small drone is considered to be attractive alternative. This paper presents the potential utilization of image processing algorithms using multi-variable linear regression applied to red, green, blue and grey band images for estimating shallow water depth using a drone with HD camera. Optical remote sensing analysis conducted at Wolpo beach showed promising results. Estimated water depths within 5 m showed correlation coefficient of 0.99 and maximum error of 0.2 m compared with water depth surveyed through manual as well as ship-board echo-sounder measurements.

A Study on the Effect of Authentic Leadership of Hospital Organization on Organizational Commitment and Organizational Citizenship Behavior: Focusing on Mediating Effect of LMX (병원 조직의 진성리더십 유형이 조직몰입과 조직시민행동에 미치는 영향에 관한 연구 : LMX의 매개효과를 중심으로)

  • Lee, Yeonsook
    • The Journal of Industrial Distribution & Business
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    • v.10 no.3
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    • pp.73-83
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    • 2019
  • Purpose - This study is to clarify the structural relationship between the direct supervisor and organizational commitment and organizational citizenship behavior through mediation of the Leader-member exchange (LMX) in the hospital organization, and to confirm the mediating effect of the LMX. Through this study, we will provide basic data on the aspects of HR to enhance organizational immersion and organizational civic behavior in hospital organizations, and present suggestions on academic contribution and effective organizational operation measures. Research design, data, and methodology - This study is to investigate the relationship between authentic leadership and OC and OCB of the organization member, which is proposed to secure more active and high competitiveness in the recent changing medical environment, with multi-regression and B&K(1986) method. For this purpose, 653 employees of senior hospitals in Seoul and Kyeong-In area were surveyed using structured questionnaires. Each questionnaire was composed of 7-point scale, and each hypothesis was testified by multiple leaner regression and by BK method for testifying mediator effect. Result - As a result of the analysis, it was found that the male and non-medical staff had higher recognition level than the medical staff in the LMX, organizational commitment and organizational citizenship behavior. In the senior management or more than 5 years' experience group, organizational commitment and organizational citizenship behavior were recognized higher than the group of subordinate managers. Second, authentic leadership has a positive influence on LMX, organizational commitment and organizational citizenship behavior, and LMX has a significant positive impact on organizational commitment and organizational citizenship behavior. In addition, as a result of analyzing LMX mediating effect in the relationship of authentic leadership and organizational effectiveness by BK method, LMX had partial mediating effects between authentic leadership and organizational citizenship behavior, and between authentic leadership and organizational commitment. Conclusion - Results of the study confirmed that all the members of the hospital organization that were lacking served as positive factors for the relationships of authentic leadership and LMX, and authentic leadership and organizational effectiveness. It is expected that the hospital organization will be able to suggest such as the organizational approach to expect high organizational effectiveness centering on authentic leadership ability as psychological capital.