• Korean Medical Education Review
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• v.24 no.3
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• pp.231-239
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• 2022

This study aimed to examine the influence of the coronavirus disease 2019 (COVID-19) pandemic on areas of Korean medical students' lives, assess concerns, and investigate the strategies they used to cope with stress due to the pandemic. An online survey with a total of 53 items on the impact of COVID-19, concerns, and coping strategies was sent to medical students, and responses were collected from April 27, 2021 to May 30, 2021. In total, 1,329 students were included in the study. Analysis was performed using the chi-square test, independent-sample t-test, and one-way analysis of variance, and the post-hoc Scheffé test or Games-Howell test was performed for multiple comparisons. The main negative impacts of the pandemic were on hobbies/leisure activities and mental health, and medical students expressed the highest levels of concern regarding restriction of movement, returning to everyday life, and risk of infection for family and friends. Female students more strongly agreed that COVID-19 had increased their depressed mood and anxiety (p<0.001 and p=0.003, respectively). Furthermore, the negative impacts of the pandemic on different areas of life significantly affected current levels of depressed mood and anxiety. To cope with pandemic-related stress, students used several strategies such as talking with family or friends (91.5%), sleeping (83.1%), exercising (72.8%), using social networking services (60.8%), drinking alcohol (37.8%), and practicing meditation/mindfulness (24.4%); the effectiveness of these strategies ranged from 3.45 to 4.19 on a 5-point Likert-type scale (1-5). The study findings suggest that COVID-19 has influenced the mental health of medical students and raised concerns in many areas of their lives. Students used various strategies to cope with the pandemic-related stress; since the effectiveness of frequently used approaches varied, it is essential to guide medical students to develop effective coping strategies.

• Safety and Health at Work
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• v.13 no.4
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• pp.394-400
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• 2022

Background: Impacts of exposure are generally monitored and recorded after injuries or illness occur. Yet, absence of conventional after-the-effect impacts (i.e., lagging indicators), tend to focus on physical health and injuries, and fail to inform if workers are not exposed to safety and health hazards. In contrast to lagging indicators, leading indicators are proactive, preventive, and predictive indexes that offer insights how effective safety and health. The present study is to validate an extended Voluntary Protection Programs (VPP) that consists of six leading indicators. Methods: Questionnaires were distributed to 13 organizations (response rate = 93.1%, 1,439 responses) in Taiwan. Cronbach α, multiple linear regression and canonical correlation were used to test the reliability of the extended Voluntary Protection Programs (VPP) which consists of six leading indicators (safe climate, transformational leadership, organizational justice, organizational support, hazard prevention and control, and training). Criteria-related validation strategy was applied to examine relationships of six leading indicators with six criteria (perceived health, burnout, depression, job satisfaction, job performance, and life satisfaction). Results: The results showed that the Cronbach's α of six leading indicators ranged from 0.87 to 0.92. The canonical correlation analysis indicated a positive correlation between the six leading indicators and criteria (1st canonical function: correlation = 0.647, square correlation = 0.419, p < 0.001). Conclusions: The present study validates the extended VPP framework that focuses on promoting safety and physical and mental health. Results further provides applications of the extended VPP framework to promote workers' safety and health.

• Journal of Hospice and Palliative Care
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• v.25 no.2
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• pp.55-65
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• 2022

Caring for patients with cancer is highly stimulating and rewarding, attracting health professionals to the field who enjoy the challenge of managing a complex illness. Health professionals often form close bonds with their patients as they confront ongoing disease or treatment impacts, which may be associated with multiple losses involving function and/or eventual loss of life. Ongoing exposure to patient loss, along with a challenging work setting, may pose significant stress and impact health professionals' well-being. The prevalence rates of burnout and compassion fatigue (CF) are significant, yet health professionals have little knowledge on these topics. A 6-week continuing education program consisting of weekly small-group video-conferencing sessions, case-based learning, and an online community of practice was delivered to health care providers providing oncology care. Program content included personal, organization and team-related risk and protective factors associated with CF, grief models, and strategies to mitigate against CF. Content analysis was completed as part of the program evaluation. In total, 189 participants (93% nurses) completed the program, which was associated with significant improvements in confidence and knowledge of CF and strategies to support self and team resilience. Qualitative themes and vignettes from experiences with the program are presented. Key themes included knowledge gaps, a lack of support related to CF and strategies to support resilience, organization-and team-based factors that can inhibit expression about the impacts of clinical work, the health professional as a "person" in caregiving, and the role of personal variables, self-skill practices, and recommendations for education and support for self and teams.

• BMB Reports
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• v.57 no.5
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• pp.207-215
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• 2024

The gut microbiota, an intricate community of bacteria residing in the gastrointestinal system, assumes a pivotal role in various physiological processes. Beyond its function in food breakdown and nutrient absorption, gut microbiota exerts a profound influence on immune and metabolic modulation by producing diverse gut microbiota-generated metabolites (GMGMs). These small molecules hold potential to impact host health via multiple pathways, which exhibit remarkable diversity, and have gained increasing attention in recent studies. Here, we elucidate the intricate implications and significant impacts of four specific metabolites, Urolithin A (UA), equol, Trimethylamine N-oxide (TMAO), and imidazole propionate, in shaping human health. Meanwhile, we also look into the advanced research on GMGMs, which demonstrate promising curative effects and hold great potential for further clinical therapies. Notably, the emergence of positive outcomes from clinical trials involving GMGMs, typified by UA, emphasizes their promising prospects in the pursuit of improved health and longevity. Collectively, the multifaceted impacts of GMGMs present intriguing avenues for future research and therapeutic interventions.

• Earthquakes and Structures
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• v.26 no.4
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• pp.311-326
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• 2024

Transmission tower structures are particularly susceptible to damage and even collapse under strong seismic ground motions. Conventional seismic analyses of transmission towers are usually performed by considering only ground motion uncertainty while ignoring structural uncertainty; consequently, the performance evaluation and failure prediction may be inaccurate. In this context, the present study numerically investigates the seismic responses and failure mechanism of transmission towers by considering multiple sources of uncertainty. To this end, an existing transmission tower is chosen, and the corresponding three-dimensional finite element model is created in ABAQUS software. Sensitivity analysis is carried out to identify the relative importance of the uncertain parameters in the seismic responses of transmission towers. The numerical results indicate that the impacts of the structural damping ratio, elastic modulus and yield strength on the seismic responses of the transmission tower are relatively large. Subsequently, a set of 20 uncertainty models are established based on random samples of various parameter combinations generated by the Latin hypercube sampling (LHS) method. An uncertainty analysis is performed for these uncertainty models to clarify the impacts of uncertain structural factors on the seismic responses and failure mechanism (ultimate bearing capacity and failure path). The numerical results show that structural uncertainty has a significant influence on the seismic responses and failure mechanism of transmission towers; different possible failure paths exist for the uncertainty models, whereas only one exists for the deterministic model, and the ultimate bearing capacity of transmission towers is more sensitive to the variation in material parameters than that in geometrical parameters. This research is expected to provide an in-depth understanding of the influence of structural uncertainty on the seismic demand assessment of transmission towers.

• Asia-Pacific Journal of Business Venturing and Entrepreneurship
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• v.13 no.5
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• pp.103-118
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• 2018

This study would provide the basic data informative for establishing a VMD strategy, covering design and marketing for business owners and prospective entrepreneurs, including the persons concerned with the food and beverage industries by investigating the relationships of the impacts of several factors in the cognitive dimension factors of VMD in food and beverage stores on consumers' emotional response and behavior intention and the mediating effect of emotional responses, applying the concept of VMD to the food and beverage industries. To check this research purpose, data were collected through a survey, conducted with various consumers in their 20s through 60s who have experienced the use of food and beverage stores. The period of the survey was from September 20 through October 10, 2017, 202 copies of questionnaires were collected without missing values and used as data for the final analysis. As for the analysis of the data, using SPSS statistical software, frequency analysis and descriptive statistics, analysis of reliability and validity, correlation analysis, single and multiple regression analysis were conducted. According to the results of this study, first, the relationship of the impact between the VMD cognitive dimension of food and beverage stores and customers' emotional responses was statistically significant. In concrete, all factors of VMD cognitive dimension, including the factors of suitability and daily escape had positive (+) impacts on positive emotions. Second, as a result of an analysis of the impact of emotional responses felt in the process of visiting the food and beverage stores on customers' behavior intention, it turned out that positive emotions had a positive (+) impacts on visit intention and recommendation intention while negative emotions did not have any impacts on visit intention and recommendation intention. Third, as a result of an analysis of the impact of VMD cognitive dimension on behavior intention, the suitability and balance of the VMD cognitive dimension had positive (+) impacts on visit intention while daily escape and functionality had positive (+) impacts on recommendation intention. Fourth, as a result of checking if emotional responses had a mediating effect in the relationship between the VMD cognitive dimension and behavior intention, positive emotions had a full mediating effect while there was no mediating effect of negative emotions between the VMD cognitive dimension and behavior intention. In conclusion, this study found that the VMD cognitive dimension of food and beverage stores affected consumers' emotional responses and that emotional responses were a factor affecting behavior intention and proved that consumers' emotional responses differed depending on the factors in the cognitive dimension. Thus, in food and beverage stores, it would be necessary to make effective designs of the stores and differentiate the presentation of them through utilizing detailed factors of the cognitive dimension of VMD. Also, the results of this study could be utilized as the appropriate marketing tools for customers in food and beverage stores and as the basic data for establishing the strategy.

• Journal of the Korean Society of Food Science and Nutrition
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• v.38 no.5
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• pp.636-643
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• 2009

This research was to find out what impacts do selection attributes of Jeju local folklore food by Jeju tourists provide on their behaviors. Multiple regression analysis was carried out using statistics package of SPSS+/WIN 12.0 to find out impacts of selection attribute factors of Jeju local folklore food on customers' satisfaction, re-visit, and intention by word of mouth. As the results, for factors with statistically meaningful impacts at the level of meaningfulness (p<0.05); level of satisfaction showed regression coefficient of 0.476 and t value of 5.198 in essential factors; auxiliary factors showed regression coefficient of 0.232 and t value of 2.808; and sensual (five senses) factors showed regression coefficient of 0.165 and t-value of 2.013. Also, for re-visit, essential factors showed impacts with regression coefficient of 0.413 and t-value of 3.540; factors of menu composition showed regression coefficient of 0.228 and t-value of 3.118; and auxiliary factors showed regression coefficient of 0.218 and t-value of 2.643. In positive word of mouth factors, auxiliary factors showed impacts with regression coefficient of 0.273 and t-value of 2.555; sensual (five senses) factors showed regression coefficient of 0.264 and t-value of 2.238; essential factor showed regression coefficient of 0.237 and t-value of 2.230 and factors of menu composition showed regression coefficient of 0.161 and t-value of 2.167. Therefore, in customer behaviors (customer satisfaction, re-visit, and positive word of mouth) regarding Jeju local folklore food by tourists who visited Jeju, local folklore and cultures did not impact on customer behaviors; also, it can suggested this thesis is meaningful as a study proving that the best marketing is focus on essential substances of food as indicated in existing researches.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.11
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• pp.653-661
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• 2018

This study was conducted to determine the impacts of perceived stress and empathy ability on altruistic behavior of freshman nursing students. Data were collected from 160 freshman nursing students between 24 November and 9 December 2016. A total of 154 questionnaires were analyzed using descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression. The results showed that perceived stress had significant negative correlations with altruistic behavior (r=-0.178, p=0.028) as did positive perception, a subfactor of perceived stress (r=-0.347, p<0.001). However, empathy ability was significantly positively correlated with altruistic behavior (r=0.607, p<0.001). The factors influencing altruistic behavior included emotional empathy, cognitive empathy and positive perception, with emotional empathy being the most influential factor (${\beta}=0.320$), followed by cognitive empathy (${\beta}=0.312$), which together had an explanatory power of 41.6%. Moreover, there was a mediating effect of empathy ability in the relationship between positive perception and altruistic behavior. Overall, the results of this study indicate that the management of curricula for nursing college students should search for ways to reduce their perceived stress as well as increase their empathy ability in order to improve their altruistic behavior.

• Asia-Pacific Journal of Business Venturing and Entrepreneurship
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• v.10 no.2
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• pp.97-105
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• 2015

This study aims to investigate the impacts of small venture firms' capabilities on their international performance and the role of environmental dynamics in these relationships. Specifically, the study examines how international marketing, technology, and network capabilities of small venture firms influence their international performance and how market and technology turbulences moderates these relationships. Employing 162 small venture firms in Korea, the result of multiple regression analysis found that marketing capability did not affect international performance while technology and network capabilities had positive, significant impacts on international performance. Market turbulence was found to have a negative moderation effect on the relationship of network capability and international performance. Technology turbulence had a negative moderation effect on the relationship of technology capability and international performance and a positive moderation effect on the relationship of network capability and international performance. The findings confirm the importance of capabilities in improving the international performance of small venture firms and generate strategic implications for their international success by emphasizing the effect of environmental dynamics.

• Ecology and Resilient Infrastructure
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• v.7 no.3
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• pp.189-198
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• 2020

Wetlands, which provide various ecological services, have been regarded as an important nature-based solution for, for example, sustainable water quality improvement and buffering of impacts from climate change. Although the importance of conserving wetlands to reduce the impacts of various perturbations (e.g., changes of land use, climate, and hydrology) has been acknowledged, the possibility of applying these efforts as a nature-based solution in a macro-scale (e.g., landscape) has been insufficient. In this study, we examine the possibility of ecological network analysis that provides an engineering solution as a nature-based solution. Specifically, we analyzed how land use change affects the structural and functional characteristics (connectivity, network efficiency, and clustering coefficient) of the ecological networks by using the ecological networks generated by multiple dispersal models of the hypothetical inhabiting species in wetlandscape. Changes in ecological network characteristics were analyzed through simultaneously removing wetlands, with two initial conditions for surface area, in the zones where land use change occurs. We set a total number of four zones of land use change with different wetland densities. All analyses showed that mean degree and network efficiency were significantly reduced when wetlands in the zones with high wetland density were removed, and this phenomenon was intensified especially when zones contained hubs (nodes with high degree). On the other hand, we observed the clustering coefficient to increase. We suggest our approach for assessing the impacts of land use change on ecological networks, and with additional analysis on betweenness centrality, we expect it can provide a nature-based engineering solution for creating alternative wetlands.