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Securitization and the Merger of Great Power Management and Global Governance: The Ebola Crisis

  • Cui, Shunji;Buzan, Barry
    • 분석과 대안
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    • 제3권1호
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    • pp.29-61
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    • 2019
  • Within the discipline of International Relations (IR), the literatures on global governance (GG) and great power management (GPM) at best ignore each other, and at worst treat the other as a rival or enemy. On the one hand, the GPM literature, like both realism in all its forms, and neoliberalism, takes for granted the ongoing, disproportionate influence of the great powers in the management of the international system/society, and does not look much beyond that. On the other hand, the GG literature emphasizes the roles of smaller states, non-state actors and intergovernmental organizations (IGOs), and tends to see great powers more as part of the problem than as part of the solution. This paper argues that the rise to prominence of a non-traditional security agenda, and particularly of human security, has triggered a de facto merger of GPM and GG that the IR literature usually treated as separate and often opposed theories. We use the Ebola crisis of 2014-15 to show how an issue framed as human security brought about a multi-actor response that combined the key elements of GPM and GG. The security framing overrode many of the usual inhibitions between great powers and non-state actors in humanitarian crises, including even the involvement of great power military forces. Through examining broadly the way in which the Ebola crisis is tackled, we argue that in an age of growing human security challenges, GPM and GG are necessarily and fruitfully merging. The role of great powers in this new human security environment is moving away from the simple means and ends of traditional GPM. Now, great powers require the ability to cooperate and coordinate with multiple-level actors to make the GG/GPM nexus more effective and sustainable. In doing so they can both provide crucial resources quickly, and earn respect and status as responsible great powers. IGOs provide legitimation and coordination to the GPM/GG package, and non-state actors (NSAs) provide information, specialist knowledge and personnel, and links into public engagement. In this way, the unique features of the Ebola crisis provide a model for how the merger of GPM and GG might be taken forward on other shared-fate threats facing global international society.

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재미 한국 식당을 이용하는 외국인 고객들의 한국 음식 및 서비스 속성에 대한 인식도 조사;IPA 분석을 통한 음식${\cdot}$서비스 속성 분석 (Expectation and Satisfaction of Foreign Customers Visiting Korean Restaurants Located in USA;Analysis for Food and Service Attributes through IPA Analysis)

  • 이소정;채인숙
    • 한국식생활문화학회지
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    • 제23권2호
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    • pp.152-162
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    • 2008
  • The objectives of this study were to: a) examine foreign customers’ satisfaction and expectations for the food and service attributes of Korean restaurants located in the U.S., b) measure the gap between the satisfaction and expectations for food and service attributes, c) analyze through IPA analysis the crucial attributes needing improvement in order to minimize the discrepancy between customers’ expectations and performance, and d) analyze the effects of factors related to the food and service attributes on overall customer satisfaction in regard to Korean restaurant selection. A total of 255 American customers who had visited four Korean restaurants located within metropolitan and rural areas of the U.S. were surveyed for this study. Statistical analyses, including t-tests, factor analysis, and multiple regression, were performed using the SPSS statistical package (12.0). The American customers’ overall satisfaction of the food and services offered by the Korean restaurants was relatively high, with the exception of tangible service attributes such as comfortable chairs, restroom cleanliness, and restaurant interior. The urban foreign customers, however, were dissatisfied with the use of healthful ingredients in Korean food, because their expectation level toward this aspect exceeded their satisfaction level. In terms of Korean restaurant selection, tangible services related to the restaurant facilities were identified as the critical factor having an effect on American customer satisfaction.

관광가이드의 긍정심리자본 요인이 직무만족 및 조직몰입에 미치는 영향에 관한 연구 (A Study on the Impact Positive Psychological Capital of Tour Guides on Job Satisfaction and Organizational Commitment )

  • 양성호;최재우
    • 아태비즈니스연구
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    • 제14권2호
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    • pp.167-185
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    • 2023
  • Purpose - The purpose of this study is to identify the influence relationship between positive psychological capital, job satisfaction, and organizational commitment of tourism guides, and to provide implications through empirical research to increase the capabilities of tourism guides that are a factor in the performance of planned travel products Design/methodology/approach - This study conducted an empirical survey using the google online questionnaire. It was directly surveyed, distributed, and collected from workers who were or were performing tourism guide duties in Asia and Europe, and 203 questionnaires were used for analysis. The empirical survey was conducted in a self-written manner through a simple random sampling method, and the statistical package was conducted with frequency analysis, factor analysis, multiple regression analysis, and correlation analysis using the spss 21.0 program. Findings - First, among the positive psychological capital factors, two factors, hope and optimism, have a significant positive (+) effect on job satisfaction. Second, among the positive psychological capital factors, two factors, self-efficacy and optimism, have a significant positive (+) effect on organizational commitment. Third, job satisfaction has a significant positive (+) effect on organizational commitment Research implications or Originality - The implications of this study are that the research results have had a positive (+) effect on the variables of positive psychological capital, job satisfaction, and organizational commitment of tourism guides, and have laid the foundation for academic research on research topics. In practice, it is expected to increase the positive psychological capital of tourism guides and have a significant impact on the organization's performance by actively supporting and supporting individuals related to the sustainable growth of travel products.

Cortical thickness of the rostral anterior cingulate gyrus is associated with frailty in patients with end-stage renal disease undergoing hemodialysis in Korea: a cross-sectional study

  • Sang Hyun Jung;Jong Soo Oh;So-Young Lee;Hye Yun Jeong
    • Journal of Yeungnam Medical Science
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    • 제40권4호
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    • pp.381-387
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    • 2023
  • Background: Frailty is defined as a condition of being weak and delicate, and it represents a state of high vulnerability to adverse health outcomes. Recent studies have suggested that the cingulate gyrus is associated with frailty in the elderly population. However, few imaging studies have explored the relationship between frailty and the cingulate gyrus in patients with end-stage renal disease (ESRD) undergoing hemodialysis. Methods: Eighteen right-handed patients with ESRD undergoing hemodialysis were enrolled in the study. We used the FreeSurfer software package to estimate the cortical thickness of the regions of interest, including the rostral anterior, caudal anterior, isthmus, and posterior cingulate gyri. The Beck Depression Inventory, Beck Anxiety Inventory, and laboratory tests were also conducted. Results: The cortical thickness of the right rostral anterior cingulate gyrus (ACG) was significantly correlated with the Fried frailty index, age, and creatinine level. Multiple regression analysis indicated that the cortical thickness of the right rostral ACG was associated with frailty after controlling for age and creatinine level. Conclusion: Our results indicate that the cortical thickness of the rostral ACG may be associated with frailty in patients with ESRD on hemodialysis and that the rostral ACG may play a role in the frailty mechanism of this population.

전라북도 일부 운수종사자의 구강건강신념과 구강보건행태에 관한 연구 (Oral Health Belief and Oral Health Behavior of Taxi Driver in Jeollabuk-do)

  • 김선미;이흥수
    • 치위생과학회지
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    • 제15권5호
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    • pp.542-550
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    • 2015
  • 본 연구는 구강건강신념모형을 이용하여 택시운수종사자의 구강보건행태를 파악하고 분석하여 택시운송종사자의 구강건강증진과 지역구강보건사업 방안 마련에 필요한 기초자료로 활용하고자 실시하였다. 수집된 자료를 분석하여 다음과 같은 결론을 얻을 수 있었다. 일반적 특성 및 구강 건강신념이 구강보건교육 경험 여부에 미치는 영향을 확인한 결과 구강건강신념 중 유익성은 구강보건교육경험 여부와 연관성이 있는 것으로 나타났다. 구강건강신념이 치석제거에 미치는 영향에는 유익성, 감수성, 장애성이 영향을 미치는 요인으로 나타났다. 구강건강신념에 영향을 미치는 요인을 분석한 결과 감수성에 영향을 주는 요인은 성별, 월 평균 소득, 주관적 구강건강상태, 연령, 1주일 근무일수, 치과의료기관 이용여부로 나타났다. 심각성에 영향을 준 요인은 주관적 구강건강상태, 최종학력, 1주일 근무일수로 나타났다. 또한 유익성에 영향을 준 요인은 치석제거 경험 여부, 하루 평균 근무시간으로 나타났고, 장애성에 영향을 주는 요인은 월 평균 소득, 주관적 구강건강상태, 치석제거 경험 여부, 구강보건교육 경험 여부, 1주일 근무일수로 나타났다. 이상의 결과들을 종합해 보면 택시운수종사자의 특성에 따라 구강건강신념에 영향을 주는 요인이 다르긴 하나 구강건강신념과 구강건강행동 간에는 연관성이 있는 것으로 보인다. 따라서 택시운수종사자의 구강건강증진방안을 마련할 때에는 구강건강신념과 구강보건행태를 고려하여야 할 것으로 생각된다.

주관적 건강인식수준에 따른 한방의료기관 이용환자의 특성 비교 - 2011년 한방의료이용 및 한약소비실태조사(보건복지부)를 중심으로 - (Characteristics of Patients' Self-Perceived Health in Traditional Korean Medical Facilities - Based on the Ministry of Health and Welfares Report on Usage and Consumption of Korean Medicine in 2011 -)

  • 성안젤라동민;최성용;박해모;;이선동
    • 대한예방한의학회지
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    • 제19권3호
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    • pp.29-43
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    • 2015
  • Objective : The purpose of this study was to identify characteristics of patients' self-perceived health in traditional Korean medical facilities. Method : This research was conducted based on the survey on patients whom have visited traditional Korean medical facilities in 2011 by the Ministry of Health and Welfares and Korean Institute for Health and Social Affairs. Using a sample of 3,931 (1,180 male and 2,751 female) outpatients' self-perceived health based on the data from usage and consumption of Korean Medicine. 'Healthy', 'Fair', and 'Poor Health' were used to measure patients' self-perceived health status. The data was analyzed by frequency, t-test, cross correlation analysis and multiple logistics regression analysis using the SPSS program package. Results : Sex(P<0.001), age(P<0.001), marital status(P<0.001), education(P<0.001), employment status(P<0.001), occupation(P<0.001), health insurance(P<0.001) and income level(P<0.0001) showed statistical significance. Main Treatment Facilities(P<0.001), experience of taking Korean medicine(P=0.032), experience of receiving acupuncture treatment(P<0.001), number of visits(P<0.001), medical expense (P=0.005), and subjective health status after the treatments showed statistical significance for Korean herbal medicine(P=0.038), acupuncture (P=0.001), cupping therapy(P=0.006), oriental physiotherapy(P=0.003), and treatment satisfaction(P<0.001). For subjective health status based on suffering disorders in the past three months, the response of poor health was higher in the group suffering recent illnesses. Statistical significance was seen in hypertension (P=0.002), arthritis(P<0.001), lumbar pain(P<0.001), diabetes mellitus(P=0.001), stroke(P<0.001), hwa-byung (P=0.001), gastric disorders(P=0.021), common cold(P<0.001), ankle sprain(P<0.001), muscular injury(P<0.001), lumbar sprain(p=0.009) and fracture(P=0.03). Also the number of diseases during the past three months showed statistical significance(P<0.001). Statistical significance was also seen in Level of knowledge(P<0.001), route of information(P<0.001), reliability of Korean medicine(P=0.003), insurance coverage(P=0.005), medical costs(P<0.001), and future willingness to use Korean medicine(P<0.001). As a result of the multiple logistics regression analysis, risks of subjective poor health statistically increased in female population, elderlies, medicaid beneficiaries, less educated, higher medical expense, and more disorders during the past three months. Conclusion : Patients' self-perceived health status has significant differences with each variables such as sex, age, marital status, education, health insurance, medical expense, number of diseases.

Estimation of Genetic Parameters for Somatic Cell Scores of Holsteins Using Multi-trait Lactation Models in Korea

  • Alam, M.;Cho, C.I.;Choi, T.J.;Park, B.;Choi, J.G.;Choy, Y.H.;Lee, S.S.;Cho, K.H.
    • Asian-Australasian Journal of Animal Sciences
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    • 제28권3호
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    • pp.303-310
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    • 2015
  • The study was conducted to analyze the genetic parameters of somatic cell score (SCS) of Holstein cows, which is an important indicator to udder health. Test-day records of somatic cell counts (SCC) of 305-day lactation design from first to fifth lactations were collected on Holsteins in Korea during 2000 to 2012. Records of animals within 18 to 42 months, 30 to 54 months, 42 to 66 months, 54 to 78 months, and 66 to 90 months of age at the first, second, third, fourth and fifth parities were analyzed, respectively. Somatic cell scores were calculated, and adjusted for lactation production stages by Wilmink's function. Lactation averages of SCS ($LSCS_1$ through $LSCS_5$) were derived by further adjustments of each test-day SCS for five age groups in particular lactations. Two datasets were prepared through restrictions on number of sires/herd and dams/herd, progenies/sire, and number of parities/cow to reduce data size and attain better relationships among animals. All LSCS traits were treated as individual trait and, analyzed through multiple-trait sire models and single trait animal models via VCE 6.0 software package. Herd-year was fitted as a random effect. Age at calving was regressed as a fixed covariate. The mean LSCS of five lactations were between 3.507 and 4.322 that corresponded to a SCC range between 71,000 and 125,000 cells/mL; with coefficient of variation from 28.2% to 29.9%. Heritability estimates from sire models were within the range of 0.10 to 0.16 for all LSCS. Heritability was the highest at lactation 2 from both datasets (0.14/0.16) and lowest at lactation 5 (0.11/0.10) using sire model. Heritabilities from single trait animal model analyses were slightly higher than sire models. Genetic correlations between LSCS traits were strong (0.62 to 0.99). Very strong associations (0.96 to 0.99) were present between successive records of later lactations. Phenotypic correlations were relatively weaker (<0.55). All correlations became weaker at distant lactations. The estimated breeding values (EBVs) of LSCS traits were somewhat similar over the years for a particular lactation, but increased with lactation number increment. The lowest EBV in first lactation indicated that selection for SCS (mastitis resistance) might be better with later lactation records. It is expected that results obtained from these multi-trait lactation model analyses, being the first large scale SCS data analysis in Korea, would create a good starting step for application of advanced statistical tools for future genomic studies focusing on selection for mastitis resistance in Holsteins of Korea.

스마트폰 쇼핑몰의 서비스품질이 고객만족, 신뢰, 행동의도에 미치는 영향 (The Effects of Service Qualities on Customer Satisfaction, Trust, and Behavioral Intention in Smartphone Shopping Malls)

  • 양승권;심재현
    • 산경연구논집
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    • 제9권12호
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    • pp.31-43
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    • 2018
  • Purpose - Smartphone shopping malls provide customers with a variety of tangible and intangible services including web sites, web design, use convenience, information for products and shopping and various after services. Accordingly, it is needed to expand and classify service qualities based on the various services provided by smartphone shopping malls, and then analyze path structures of smartphone shopping malls' qualities → customer satisfaction → behavioral intention. The purpose of this study is to categorize the qualities of smartphone shopping mall users based on the e-SERVQUAL by Lee(2002) and the SERVQUAL by Parasuraman et al.(1988, 2005), the smartphone shopping malls' service qualities based on service quality of smartphone shopping malls used in the previous use studies, and the Website quality factors of service industry and to analyze path structure of smartphone shopping mall's qualities → customer satisfaction → behavioral intention on college students in order to confirm the system of smartphone shopping malls' qualities. Research design, data, and methodology - This study's survey was carried out on the college students of university located in northeastern of Seoul. It was from December 7 - 15, 2017, and a total of 240 questionnaires were distributed, with 228 collected. Of them, effective questionnaires used in the final study were a total of 201 except 27 that couldn't be used. In this study, empirical analysis was done with factor analysis, correlation analysis, multiple regression analysis, simple multiple regression analysis and moderating regression analysis by using Statistics Package SPSS18.0. Results - The study results are as follows: First, smartphone shopping malls' qualities were classified into six categories like customer system quality, Web design quality, convenience quality, information-offering quality, service quality, and product quality. Second, it showed that system quality, Web design quality, and information-offering quality had a positive impact on customer satisfaction, respectively. Third, it suggested that quality factors of smartphone shopping mall users had a positive impact on customer satisfaction in the order of quality, information-offering quality, system quality and Web design quality. Finally, it showed that customer service quality, product quality, and convenience quality did not have a positive impact on customer satisfaction. In addition, it said that customer satisfaction of smartphone shopping mall users had a positive impact on behavioral intention and thereby, the higher the customer satisfaction was, the higher the relations between reuse intention and recommendation intention were. Meanwhile, moderating regression analysis showed that trust did not have moderating effect in the relations between customer satisfaction and behavioral intention. The above study revealed that smartphone shopping malls' qualities were classified into six categories and it was possible to generalize after empirical analysis was made in the path structure. Conclusions - Smartphone shopping mall users consider usefulness of obtaining shopping information and quality on quick and abundant shopping information more important than access environment of smartphone shopping malls and kind services of smartphone shopping mall managers. Thereby, smartphone shopping mall marketers need to take service qualities like system quality and information-offering quality into more consideration.

응급실 경유 정신 및 행동장애 입원환자들의 총진료비 비교 : 주상병과 부상병 환자 중심으로 (A Comparative Study on Total Payment of Mental and Behavioral Disorders Patients Admitted through the Emergency Room: Focusing on Main & Sub Sick)

  • 최현식;이현숙
    • 한국콘텐츠학회논문지
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    • 제14권10호
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    • pp.562-569
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    • 2014
  • 본 연구의 목적은 응급실을 경유한 정신 및 행동장애 중 기분[정동]장애만을 주상병으로 하는 입원환자와 정신 및 행동장애를 부상병으로 동반한 기분[정동]장애 입원환자의 총진료비에 미치는 영향 요인을 알아보고자 한다. 본 연구는 건강보험심사평가원 2009년 표본자료에서 응급실 경유 입원환자가 '정신 및 행동장애'(F00-F99)중에서 주상병 코드가 기분[정동] 장애(F30-F39)인 환자와 부상병 코드가 '정신 및 행동장애'(F00-F99)를 가진 환자를 추출하여 753명을 분석 대상으로 사용하였다. 본 연구에서 수집된 자료는 통계 프로그램 SPSS 18(Statistical Package for the Science)을 이용하여 빈도분석, t-test, ANOVA, 다중회귀분석을 실시하였다. 연구결과는 주상병의 경우, 총진료비에 영향을 미치는 변수들은 연령을 제외한 모든 성별(p<.01), 응급실 도착경로(p<.001), 진료 결과(p<.001), 입원일수(p<.001) 변수들이 통계적으로 유의한 것으로 나타났다. 또한 부상병의 경우, 총진료비에 영향을 미치는 변수들은 살펴보면, 모든 변수 즉 성별(p<.01), 연령(p<.001), 응급실 도착경로(p<.001), 진료 결과(p<.001), 입원일수(p<.001) 등이 통계적으로 유의한 것으로 나타났다. 앞으로 정부는 장기적이고 지속적으로 국민의 정신건강을 위해 효율적인 방안을 마련하고 효과적인 예방 및 관리, 정신건강 중재 프로그램 개발, 정신건강관련 진료지침, 맞춤형 치료 및 상담서비스 등 사전 사후 체계적인 정신건강증진 종합대책을 추진해야 할 것이다.

초등학교 양호교사의 건강증진 생활양식 실천정도와 영향 요인에 관한 연구 (A Study on Health-Promoting Lifestyles and Their Affecting Factors in Elementary School Nurses)

  • 박소영
    • 한국학교보건학회지
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    • 제10권1호
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    • pp.51-63
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    • 1997
  • Changes in disease patterns increase the importance of health-promoting lifestyles in a healthy society. Thus health education in elementary schools is very important because the knowledge of health and health habits in this period become a habitual part of life. The purpose of this study is to identify the performance in promoting healthy lifestyles of elementary school nurses. Such data helps to provide data to judge whether they are capable health educators or not. The subjects were 365 elementary school nurses selected by purposive sample. The data were collected by a self reporting questionnaire from August to October of 1996. The methods used in this study were the health-promoting lifestyle profile developed by Park In Sook (1995) and Licker's flour-point scale. A Cronbach's ${\alpha}$, percentage, mean, standard deviation, ANOVA, Pearson's correlation coffcient and stepwise multiple regression in the SAS package were used to analyze the data. The results of this study were as follows: 1. 37.7% of the sample were aged between 30 and 39 and 33.7% were between 40 and 49. 44.9% of the sample had attended college. 87.7% of the sample were married. 42.5% of the sample were people with a career of 11~20 years, and 26.0% of it had 21 years or more of working experience as an elementary school nurses. 2. The average scores of the family function and the social support were 2.97 and 2.98 respectively. 3. 86.5% of the sample were satisfied with their job. 4. 85.8% of the sample answered that they were healthy and 14.2% answered that they were unhealthy. The average scores of the internal health locus of control and self-esteem were 3.35 and 3.15 respectively. 5. The average score of performance in health-promoting lifestyle variables was 3.16; the average scores for harmonious relationships, regular diet professional health maintenance, sanitary life, self-control, emotional support, diet, rest and sleep, exercise and activity. self-achievement, and diet control were 3.47, 3.30, 2.52. 3.60, 2.92, 3.18, 3.14, 3.11, 2.96, 3.26 and 3.12. The variable with the highest degree of correlation was a sanitary life, whereas the one with the lowest degree was professional health maintenance. 6. A significant difference was found in self-esteem according to age. There was a significant difference in the average score of internal health locus of control according to age and career. 7. There were significant differences in the health-promoting lifestyle performance depending on age, career and monthly household income. The longer the career, the higher the health-promoting lifestyle performance. 8. A weak positive correlation was found between self-esteem and health-promoting lifestyles performance(r=0.417, p<0.001) Also, a weak positive correlation was found between the internal health locus of control and health-promoting lifestyles performance (r=0.386, p<0.001). 9. Heath-promoting lifestyle performance showed significant correlations with family function, social support and job satisfaction. 10. Stepwise multiple regression analysis revealed that the most powerful predictor was the variance of family function. Social support, age, self-esteem, internal health locus of control, perceived heath status and job satisfaction accounted for 55.9% of the variance in heath-promoting lifestyle performance.

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