• Journal of Korean Neurosurgical Society
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• v.65 no.4
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• pp.549-557
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• 2022

Objective : This study analyzed the risk factors in patients who developed distal junctional kyphosis (DJK) after posterior cervical fusion. Methods : We retrospectively analyzed the clinical and radiographic outcomes of 64 patients, aged ≥18 years (51 and 13 male and female patients, respectively), who underwent single-staged multilevel (3-6 levels) posterior cervical fusion surgery due to multiple cervical spondylotic myelopathy. The surgeries were performed by a single spinal surgeon between January 2012 and December 2017. Demographic data, clinical outcomes, and radiological results were collected. We divided the patients into a DJK group and a non-DJK group according to the presence of DJK and investigated the risk factors by comparing the differences between the two groups. Results : Of the 64 patients, 13 developed DJK. No significant differences in clinical results were observed between the two groups before and immediately after the surgery. At the final follow-up, a higher visual analog score for neck pain was observed in the DJK group compared to the non-DJK group (p<0.01). The DJK group had a significantly lower T1 slope and a significantly higher C2-7 sagittal vertical axis (SVA) before surgery compared to the non-DJK group (p=0.03 and p<0.01, respectively). Immediately after surgery, the difference between the two groups decreased and no significant difference was observed. However, at the last follow-up, a significantly higher C2-7 SVA was observed in the DJK group (p<0.01). At the last follow up, there is no discrepancy in T1S-CL. In multiple logistic regression analysis, preoperative higher C2-7 SVA and preoperative lower T1 slope were identified as independent risk factors (p=0.03 and p<0.01, respectively). As a result, it was confirmed that DJK occurred along the process of returning to preoperative values. Conclusion : DJK can be considered to be caused by cervical misalignment due to excessive change in the surgical site in patients with low T1 slope and high C2-7 SVA before surgery. This also affects the clinical outcome after surgery. It is recommended to refrain from excessive segmental lordosis changes during multilevel cervical post fusion surgery, especially in patients with a small preoperative T1 slope and a large SVA value.

• Journal of Families and Better Life
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• v.26 no.5
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• pp.129-142
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• 2008

This study examines how economic and psychological characteristics affect the quality of life (QoL) of elderly individuals age 60 and older, who live in the Seoul-metropolitan area. Relationships among socio-demographic status, economic conditions, psychological characteristics, family life, health status, and QoL are examined by t-test and ANOVA(Duncan's test as post hoc multiple comparisons), and the multiple regression analysis is used to estimate QoL determinants in the elderly. The major findings of the study are as follows. First, younger age, higher education levels, better health status, harmonious family relations, higher levels of household income, lower levels of loneliness, and higher self-esteems are related to higher QoL levels. Second, the impacts of factors on QoL are differentiated according to tercile groups that divide monthly allowance of respondents into three categories: below normal (threshold amount below 21MW), near normal (threshold amount between 21MW and 35MW), and above normal (threshold amount above 35MW). For each tercile group, poor health status or higher loneliness have negative effects on QoL, while harmonious family relationship has a positive effect. For the below-normal group, years of education or self-esteem have positive effects, while age or retirement status have negative effects when controlling for other factors. For the near-normal group, being married, or perceived financial insecurity create lower QoL levels, while higher self-esteem increases QoL levels. For the above-normal group, being widowed, employed, or retired have positive effects on QoL, when controlling for other variables. Third, even among elderly with high allowances, the effects of health status and family relationship are significant determinants that explain QoL levels. This result suggests that, for te elderly, poor health status and poor family relationships severely decrease QoL in later life, regardless of economic condition.

• Journal of muscle and joint health
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• v.26 no.3
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• pp.232-240
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• 2019

Purpose: The purpose of this study was to investigate the effects of exercise intention, exercise habit, exercise self-efficacy on exercise behavior with elders at welfare center. Methods: The subjects were 152 elders at the welfare center at J city. Data were collected using the questionnaires which consisted of the Exercise intention scale and the Exercise habit scale developed by Lee and Gu (2018), and the Exercise self-efficacy scale developed by Lee and Chang (2001). The collected data were analyzed with the SPSS/WIN 22.0 program, which was used for frequency, percentage, mean, standard deviation, x² test, and multiple logistic regression. Results: The regular exercise group consisted of 92 elders (62.5%) and the irregular exercise group of 60 elders (39.5%). The scores for exercise intention, exercise habits, exercise self-efficacy were 3.28±0.70, 3.92±0.61, 2.80±0.88 in regular exercise group, and 2.38±0.99, 3.00±1.07, 2.04±0.73 in irregular exercise group, respectively. Two groups were significantly different between the two groups. Multiple logistic regression analysis showed that exercise intention (OR: 2.26, 95% CI:1.19~4.28), exercise habits (OR: 1.79, 95% CI:1.01~3.15), exercise self-efficacy (OR: 1.99, 95% CI:1.11~3.57) were affecting factors for regular exercise in elders. Conclusion: To increase the regular exercise behaviors of the elderly at the welfare center, it is needed the strategies to increase exercise intention, exercise self-efficacy, and exercise habits.

• Journal of Korean Academy of Nursing
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• v.40 no.5
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• pp.676-685
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• 2010

Purpose: The purpose of this study was to examine the factors affecting eating attitude of female undergraduates according to BMI. Methods: A descriptive survey design with a convenience sampling was used and data collection was done using a self-report questionnaire answered by 406 female undergraduates from four universities located in Seoul, Kangwon, Gyeongsangbuk and Chungcheongnam Provinces. ANOVA, Pearson correlation coefficients, and hierarchial multiple regression were used the SPSS WIN 17.0 Program to analyze the data. Results: With respect to BMI, the students were found to be in 3 groups, whose differences in eating attitude were significant. Eating attitude had significant positive correlation with height (r=.118, p=.017), weight (r=.267, p<.000), BMI (r=.239, p<.001), and depression (r=.375, p<.001), and negative correlation with subjective well-being (r=-.153, p=.002) and body esteem (r=-.287, p<.001). In the hierarchial multiple regression analysis, college major, height, weight and religion, were controlled. Depression and body esteem regarding weight significantly predicted 40.7% of eating attitude for the underweight group and normal weight group, body esteem: weight and depression were significant predictors for 27.5% of eating attitude for the normal weight group. Body esteem: weight explained 32.6% of eating attitude for the overweight group. Conclusion: Findings of this study allow a comprehensive understanding of eating attitudes and related factors among female undergraduates in Korea. Further study with a larger random sample from various universities is necessary.

• Research in Community and Public Health Nursing
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• v.16 no.1
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• pp.13-22
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• 2005

Purpose: The purpose of this study is to compare health promotion behavior and influencing factors between aged women of rural areas and urban areas, to investigate factors affecting their behavior, and to provide the primary data for developing heath enhancing program that is appropriate for the population. Method: A survey was conducted on 221 aged women 100 from urban areas and 121 from rural area. The data were collected through a questionnaire and interview. Descriptive statistics, ANOVA and multiple stepwise regression were found by using SPSS PC Win. Package. Result: There were significant difference of factors relating health promotion behavior in Pender model between the aged women in urban areas and rural areas, urban women showed higher scores in factors such as previous heath relating behavior, perceived confidence, self-efficacy, social support, satisfaction with marriage, situational influence, and behavioral plan involvement, while rural women showed higher scores in the factors of fixed idea regarding gender role, perceived disabled feeling, and activity related emotions. At the subscale of HPLP, interpersonal relation, nutrition, health responsibility, stress management, spiritual growth of rural group was lower than urban group. With the multiple stepwise regression analysis, commitment to a plan of action, social support, activity related affect, self efficacy were proved to be significant to urban group, while commitment to a plan of action. activity related affect, social support, sex-role stereotype were proved to be significant to rural group statistically. Conclusion: There were differences of health promotion behavior and influencing factors between aged women in urban areas and rural areas and women in rural areas were found to have more weakness than women in urban areas. With the results, it is concluded that health promotion programs for aged woman should be designed differently between urban and rural area regarding the factors affecting health promotion behaviors.

• Economic and Environmental Geology
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• v.53 no.2
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• pp.167-181
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• 2020

Analysis of variance (ANOVA) and multiple comparison analysis were performed for shear strengths categorized by breccia content of 5 wt.% (Case-I), 10 wt.%, (Case-II) and 15 wt.% (Case-III) in fault cores. The relationship between breccia contetnt and shear strength was quantitatively classified by calculating the mean and standard deviation of shear strength for each population in each case and then the grouping the breccia contents that had a statistically similar effect on the dispersion of shear strength. As a result, shear strength was clearly classified into group 1 (breccia content of 0-15 wt.%) and group 2 and 3 (breccia coantent of 15-30 wt.% and 30 wt.% or more) in Case-III. Shear strength of the standard line at breccia content of 15 wt.% were determined to be 43.6 kPa, 77.6 kPa, and 118.6 kPa at each normal stress (54 kPa, 108 kPa, and 162 kPa), respectively. In addition, the distribution range of cohesions is 0-43.6 kPa at breccia content of 15 wt.% or less, and 0-70.0 kPa at 15 wt.% or more. Distribution range of friction angles is 0-45.7 ° at breccia content of 15 wt.% or less, and 16.7-57.5 ° at 15 wt.% or more.

• Journal of Korean Physical Therapy Science
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• v.7 no.2
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• pp.711-725
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• 2000

The purpose of this study was to determine the effects of knee flexor isokinetic training on the mean peak torque of knee muscles and hamstrings-to-quadriceps ratio(H/Q ratio) in hemiplegia able to walk independently for more than 10 meters, to analyze the effect of torque increasing on functional aspects; fatigability and ambulation times, also. Forty-one adult subjects with hemiplegia secondary to a stroke partipated in this study. All participants were in/out patients at the College of Medicine, Pocheon CHA University, Pundang CHA General Hospital. The patients were allocated to two groups: one group exclusively for isokinetic maximal voluntary knee flexor training at $150^{\circ}$/sec(n=20) and the other exclusively for isokinetic maximal voluntary knee flexor training from $30^{\circ}$/sec to $150^{\circ}$/sec (n=21) gradually. The allocation was performed according to patient age, sex, affected side to minimize imbalance between the two training groups. Training was carried out from February 14th, 2000 to April 15th, 2000. Analysis of the data was done by means of t-test, x2-test, paired t-test, ANOVA, and multiple regression analysis. The results of this study were as follows: 1. There were no significant differences between the two groups in mean peak torque of knee muscles and relative decreases in knee extensor mean peak torque with increased knee flexor velocities before training (P<.05). 2.There was no significant differences between the two groups in the H/Q ratio, and no relative increases with increased knee flexor velocities before training. 3. there were significant changes in mean peak torque in group A after training(P<.05), but no significant differences as the velocity increased 4.there were significant changes in mean peak torque in group B after training(P<.05), but no significant differences as the velocity increased 5.there were no significant differences between the two groups, and no significant differences in mean peak torque increase rate between the groups with increased knee flexor velocities after training 6.H/Q ratio increased with increased knee flexor velocities between the two groups, but not statistically And there was no significant differences between the groups with increased knee flexor velocities 7.After training, Ambulation time and its decreasing rate decreased significantly in group B (P<.05) 8Before and after training, there was no significant differences between the groups in the fatiguability 9. In the multiple regression analysis, mean peak torque increase rate of the knee extensor and flexor were higher in group B than A(P<.05), and significantly higher with increased knee flexor velocities (P<.05) Also, training method influenced on Ambulation times decreases significantly(P<.05). Results indicated that knee flexor isokinetic training was effective to knee extensor and flexor mean peak torque increase in the hemiplegia able to walk independently for more than 10 meters. Therefore, we were able to conclude that gradual training from low to high velocity was more effective in the increase of mean peak torque of knee joint and decrease of Ambulation times than training only at high velocity.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.5
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• pp.1693-1701
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• 2010

In this paper, requirements of efficient group key creation in multiple hierarchy structure environment with clear distinction of hierarchical roles within organizations are explained and the method of creating a group key that satisfies such requirements is proposed. The proposed method creates the group key through logical sum operation of hierarchy identifier created using uni-directional hash chain and group identifier randomly created according to the access right. The problem of excessive possession of key information by upper group users in the existing static group key creation technique was resolved. At the same time, lower group users were prevented from deducing key information of upper group users. In addition, as a result of comparative analysis performed with an experiment on existing super group key creation technique and multiple hierarchy group key method, the proposed method was found to be equivalent or superior to existing method in terms of various items including the total number of keys created, the number of keys possessed by users, the number of keys used for encoding and decoding of information, and expandability of keys.

• Journal of the Korean Society of School Health
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• v.13 no.1
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• pp.117-129
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• 2000

The relationships between children's health behavior and variables that effect children's health behavior has been investigated in a number of previous studies. This study was conducted to examine the effects of a peer's social reinforcement on children's dental health behavior in an elementary school. The research design was a nonequivalent pre and post-test quasi-experimental design and the study subjects with one hundred and thirteen eight to nine years old children, and their mothers (57 experimental group, 56 control group) were selected as a study group. Subjects were selected by the convenience sampling method. The study was carried out in an elementary school in Namwon city, Korea, from the 26th of April to the 12th of June in 1999. Data were collected in both the pre and post-test portions. Using the "Health Belief Model", each item of the questionnaire for measurement of dental health behavior was modified and administered for the children and their mothers. The questionnaire for the measurement of dental health behavior was developed by Oh, Y.B.(1994). The Cronbach's ${\alpha}$ of the questionnaire for children were .81, and for the mother were .79. In this study, the health belief model consists of "perceived susceptibility", "perceived seriousness", "perceived barrier", "perceived salience", and "perceived benefit". The questionnaire for the children was composed of 37 items, and the questionnaire for the mother was composed of 40 items. Data were analyzed by frequency, ${\chi}^2-test$, ANOVA, Pearson's Correlation, and multiple regression analysis by a SAS program. The results of this study were summarized as follows ; 1. The first hypothesis that the experimental group would have more change in the frequency of brushing per week than that of control group was accepted(t=3.817, p=0.000). Mean tooth brushing scores in the experimental group improved significantly from pre-test to post-test, but in the control group there was no significant improvement in tooth brushing scores. 2. The second hypothesis that the experimental group would have more change in score of dental health behavior than that of control group was accepted(benefit : t=2.804, p=0.006, salience: t=2.608, p=0,010). An evaluation between the experimental group and the control group showed significant change from pre-test to post-test in health behavior scores. 3. The third hypothesis that higher scores of social reinforcement would create more change in the scores of tooth brushing frequency in the experimental group was accepted(${\beta}$=0.169, p=0.000. Multiple regression was used to examine the peer's social reinforcement scores and the relative influence of significant variables in previous ANOVA and Pearson's correlation test on children's frequency of brushing during the post-test. The results of the study indicated that the combination of social reinforcement of peers with variables pertaining to mother and householder were significantly related and effectively improved a child's tooth brushing.

• Journal of the Economic Geographical Society of Korea
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• v.14 no.1
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• pp.33-51
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• 2011

This study investigates the spatial characteristics of the provision of and demand for the private tutoring service industries and the consumer groups. For the purpose, we analyze the spatial characteristics of various types of tutoring institutes in the Seoul Metropolitan area. In particular, we exam the spatial distribution patterns of attendants of tutoring institutes by institution type as well as the resident population by attendant age group. By applying spatial autocorrelation analysis, we examine the spatial clustering patterns of tutoring institutes and attendants by type. The results show distinct differences in the spatial distribution patterns by tutoring institute type as well as by attendant age group. We found significant socio-economic variables which influence on the spatial distribution of tutoring institutes. Finally, we propose private tutoring service provision models constructed with these variables through multiple regression analysis.