• Title/Summary/Keyword: Proactive regression

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The Effects of Maternal Negative Behaviors and Children's Attachment Stability on Children's Aggression (모의 부정적 양육행동과 아동의 모애착안정성이 아동의 공격성에 미치는 영향)

  • Jun, Joo-Ram;Kim, Soon-Ok
    • Journal of Families and Better Life
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    • v.27 no.2
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    • pp.173-189
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    • 2009
  • The purpose of this study was to find and provide the prevention method by examining the Effects of Maternal Negative Behaviors and Children's Attachment Stability on Children's Aggression. The subjects were 339 children of fifth or sixth graders in Seoul. The questionnaires were derived and modified from Young Ae Park (1995) for the maternal negative behavior, Children's attachment stability from Ok Jung (1998) and Children's aggression from In Sun Jung(2006). The date were analyzed with descriptive statistics, t-test, F-test, Pearson's correlations and hierarchical multiple regression by SPSS 14.0 program. The major findings were as follows : First, the result showed there was average level of negative relationship when mother's negative behavior was compared with children's attachment whereas it showed average level of positive relationship in aggression. And also, low level of negative relationship showed between the attachment and aggression. Second, studying the influence it gives to the children's reaction and aggression after adding the children, parent and the family's popular social variables into the maternal's negative behavior, the outcomes showed the maternal's discipline and defiance upbringing had influenced the highest and tolerance, negligence was second high. This study mainly looked at the relationship between the maternal negative behavior with the children's attachment and aggression, but not like the nations pre.studied results, changes in human relation were examined with identifying the main several factors that bring greatest influence to the children's attachment and aggression. In conclusion, the children's attachment and aggression's the cause of the children's attachment and aggression were mainly from the maternal discipline and defiance upbringing. Based on this conclusion, it is essential for the maternal to have a sound discipline with right minds for endeavor to bring up the children with bring minds with less aggression and composed attachment.

Assessment of Needs and Accessibility Towards Health Insurance Claims Data (연구를 위한 건강보험 청구자료 요구 및 이용 요인분석)

  • Lee, Jung-A;Oh, Ju-Hwan;Moon, Sang-Jun;Lim, Jun-Tae;Lee, Jin-Seok;Lee, Jin-Yong;Kim, Yoon
    • Health Policy and Management
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    • v.21 no.1
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    • pp.77-92
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    • 2011
  • Objectives : This study examined the health policy researchers' needs and their accessibility towards health insurance claim datasets according to their academic capacity. Methods : An online questionnaire to capture relevant proxy variables for academic needs, accessibility, and research capacity was constructed based on previous studies. The survey was delivered to active health policy researchers through three major scholarly associations in South Korea. Seven-hundred and one scholars responded while the survey as open for 12 days (starting on December 20th, 2010). Descriptive statistics and logistic regression analysis were carried out. Results : Regardless of the definition for operational needs, the prevalent needs of survey respondents were not met with the current provision of claim data. Greater research capacity was shown to be correlated with increased demand for claim data along with a positive correlation between attempts to obtain claim datasets and research capacity. A greater research capacity, however, was not necessarily correlated with better accessibility to the claim data. Conclusions : The substantial unmet need for claim data among the healthcare policy research community calls for establishing proactive institutions which could systematically prepare and make available public datasets and provide call-in services to facilitate proper handling of data.

Comparison of Mental Health Factors Affecting Health Risk Behaviors between Multicultural and Monocultural Adolescents in Korea (다문화 청소년과 일반 청소년의 건강위험 행태에 영향을 미치는 정신건강 요인 비교)

  • Lee, Chaehyun;Lee, Insook
    • Journal of the Korean Society of School Health
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    • v.32 no.2
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    • pp.105-115
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    • 2019
  • Purpose: The purpose of this study was to compare the mental health factors related to health risk behaviors between multicultural and monocultural adolescents. Methods: The study subjects were selected from the 2018 Korea Youth Risk Behavior Web-Based Survey Dataset. A total of 60,040 multicultural and monocultural adolescents were included in the analysis. A $x^2$ test and logistic regression were conducted, using SPSS 18.0, to compare the general characteristics, mental health, and health risk behaviors of the multicultural and monocultural adolescents. This process involved a complex sample design. Results: There was a significant difference in the rates of suicidal behaviors. Multicultural adolescents showed a significantly higher rate of suicidal ideation (8.6% vs. 8.5%, p=.004), suicidal plan (3.2% vs. 2.4%, p=.004), and suicidal attempt (5.0% vs 3.1%, p=.04) than monocultural adolescents. Perceived stress had a significant impact only on monocultural adolescents. Monocultural adolescents with high levels of perceived stress were at a greater risk of drinking (high stress=reference; low stress OR=0.91, p=.025) and smoking (high stress=reference; low stress OR=0.90, p=.029) than those with low stress. Multicultural adolescents who had made suicide attempts were at a higher risk of drinking (multicultural OR=7.879, p<.001; monocultural OR=2.481, p<.001) and smoking (multicultural OR=4.011, p=.015; monocultural OR=2.800, p<.001) than monocultural adolescents. Conclusion: To implement an effective smoking and drinking prevention program, it is necessary to consider how we can reduce the risk factors. Stress management is important for monocultural adolescents and a proactive suicide-screening program and a suicide prevention program should be included in the program for both multicultural and monocultural adolescents.

Financial Analysis and Effects on Performance of Offshore Freight Shipping Companies (외항 화물운송업의 재무분석 및 성과에 미치는 요인 연구)

  • JANG, Seung-wook;AHN, Woo-chul
    • The Journal of shipping and logistics
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    • v.34 no.4
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    • pp.615-635
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    • 2018
  • Using data from 2008 to 2017, this study analyzed the financial characteristics of offshore freight shipping companies in Korea, categorized by vessel type, and their impact on business performance. The analysis showed an upward trend in the overall debt ratio of offshore freight transport companies and differences in the financial characteristics of each vessel type as well as the major factors affecting business performance. In particular, the significant factors affecting the ROA performance of the business are the size of business and debt ratio in the LPG line; the growth rate in the bulk line; the size of business, debt ratio, and year in the general freight line; and the size of business, growth rate, entertainment expense rate, debt ratio, and year in the full container line. Therefore, each shipping company needs to recognize differences in key financial factors affecting its performance based on vessel type, implement proactive measures, and diversify its vessel portfolio.

A Study on The Effects of Cyber-Bullying in Adolescents on SNS Addiction: Focusing on the Moderating Effects of Friendship (청소년의 SNS 중독이 사이버불링에 미치는 영향: 또래애착관계의 조절효과검증)

  • Jun, Ji Hyoung;Kim, Ri Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.499-506
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    • 2021
  • The purpose of this study is to verify the effect of SNS addiction on cyber-bullying among adolescents, considering the adjustment effect of friendship on this relationship. This study involved 811 middle/high school students with a gender distribution of 391 males and 420 females. According to the analysis, the higher the level of SNS addiction, the higher the level of cyber-bullying. A hierarchical regression analysis was conducted to verify the moderating effect of friendship. The result shows that better peer communication and reliance lowers the impact of cyber-bullying from SNS addiction. Based on research results suggesting the popularization of proactive pre-diagnosis programs to solve SNS addiction, practical intervention plans and the limitations of research on SNS addiction and cyber-bullying in youth are suggested.

Determinants of a Surgery Hospital Following a First-time Diagnosis of Cancer at a General Hospital in the Metropolitan Area (암 최초 진단 후 수술 병원 결정요인: 수도권 소재 일개 종합병원을 대상으로)

  • Shin, Chang Ho;Kim, Bomgyeol;Sim, Hyung Seop;Kim, Tae Hyun;Jang, Suk-Yong;Lee, Sang Gyu
    • Korea Journal of Hospital Management
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    • v.26 no.4
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    • pp.59-66
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    • 2021
  • Purposes: This study aimed to identify relevant factors that determine cancer surgery at a medium-sized general hospital where patients are diagnosed with cancer. Methodology: The study subjects were 1,530 patients diagnosed with cancer between November 2013 and October 2019 at a 400-bed general hospital located in the metropolitan area. Multiple logistic regression analysis was performed to identify the patient characteristics, cancer types, and characteristics of treatment experience of the study subjects, in addition to the determinants of cancer surgery in the hospital. Findings: Among 1,530 cases diagnosed with cancer, 353 cases (23.1%) were operated at the hospital where the cancer diagnosis was made. As determinants of surgery after a fist-time diagnosis at a general hospital, the likelihood of having surgery at the hospital, for colorectal cancer patients compared to stomach cancer patients (Odds Ratio=2.38), bladder and kidney cancer patients (Odds Ratio=1.79). According to the results of an additional survey conducted, it was found that important determinants of decisions on a hospital to receive cancer surgery were the kindness of the staff including doctors and nurses, and the trust in the medical skills and technique of the doctor. Practical Implication: The management of general hospitals should take note of the fact that it is important to establish proactive strategies for hospital management including strengthening the rapport between patients and medical institutions based on the kindness of medical staff (doctors and nurses) and staff, in addition to promoting cancer adequacy evaluation results and introducing one-stop systems.

The Effect of Children's Perceived Parental Attachment and Parents' Happiness on Children's Autonomy (아동이 지각한 부모애착, 부모의 행복감이 아동의 자율성에 미치는 영향)

  • Jeong, Yeong Mi
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.95-100
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    • 2023
  • The purpose of this study was to examine the relationship among children's perceived parental attachment, parental happiness, and children's autonomy, and to find out in detail the influence of parental attachment and parental happiness on children's autonomy. Frequency analysis and descriptive statistical analysis were performed on data from the 12th year of the Korean Children's Panel (2019), and Pearson's moment correlation coefficient was calculated for correlation analysis between variables. Multiple regression analysis was conducted to examine the influence of parental attachment and parental happiness on children's autonomy. The research results were as follows. First, parental attachment perceived by children, parental happiness, and children's autonomy were all positively correlated. Second, among the sub-variables of parental attachment, maternal trust, paternal trust, and maternal communication were found to have an influence, and only maternal happiness was found to have an effect on parental happiness. This means that parental attachment acts as a more important variable than parental happiness. Therefore, we need constant attention and effort to support children in a more intimate and stable relationship with their parents so that they can gain life satisfaction through active and proactive choices and decisions.

Development and Validation of an Integrated Healthy Workplace Management Model in Taiwan

  • Fu-Li Chen;Peter Y. Chen;Chi-Chen Chen;Tao-Hsin Tung
    • 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.

Risks for Readmission Among Older Patients With Chronic Obstructive Pulmonary Disease: An Analysis Using Korean National Health Insurance Service - Senior Cohort Data

  • Yu Seong Hwang;Heui Sug Jo
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.6
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    • pp.563-572
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    • 2023
  • Objectives: The high readmission rate of patients with chronic obstructive pulmonary disease (COPD) has led to the worldwide establishment of proactive measures for identifying and mitigating readmissions. This study aimed to identify factors associated with readmission, as well as groups particularly vulnerable to readmission that require transitional care services. Methods: To apply transitional care services that are compatible with Korea's circumstances, targeted groups that are particularly vulnerable to readmission should be identified. Therefore, using the National Health Insurance Service's Senior Cohort database, we analyzed data from 4874 patients who were first hospitalized with COPD from 2009 to 2019 to define and analyze readmissions within 30 days after discharge. Logistic regression analysis was performed to determine factors correlated with readmission within 30 days. Results: The likelihood of readmission was associated with older age (for individuals in their 80s vs. those in their 50s: odds ratio [OR], 1.59; 95% confidence interval [CI], 1.19 to 2.12), medical insurance type (for workplace subscribers vs. local subscribers: OR, 0.84; 95% CI, 0.72 to 0.99), type of hospital (those with 300 beds or more vs. fewer beds: OR, 0.77; 95% CI, 0.66 to 0.90), and healthcare organization location (provincial areas vs. the capital area: OR, 1.66; 95% CI, 1.14 to 2.41). Conclusions: Older patients, patients holding a local subscriber insurance qualification, individuals admitted to hospitals with fewer than 300 beds, and those admitted to provincial hospitals are suggested to be higher-priority for transitional care services.

Risk factors for the colonization of carbapenem-resistant Enterobacteriaceae in patients transferred to a small/medium-size hospital in Korea: a retrospective study (중소병원으로 전원 온 환자의 카바페넴내성장내세균속균종 보균 위험요인)

  • Misun Lee;Hyunjung Kim
    • Journal of Korean Biological Nursing Science
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    • v.25 no.4
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    • pp.285-294
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    • 2023
  • Purpose: This study aimed to identify the colonization rate of carbapenem-resistant Enterobacteriaceae (CRE), the characteristics of CRE isolates, and risk factors for CRE colonization in patients transferred to the general wards of a small/medium-sized hospital. Methods: This retrospective study was conducted on patients who underwent CRE culture tests within 24 hours of admission among patients transferred to a small/medium-sized hospital. Forty-seven patients confirmed as positive for CRE were classified as belonging to the patient group. For the control group, 235 patients (five times the number of the patient group) were matched by sex, age, and diagnosis, and then selected at random. Data were analyzed using descriptive analysis and multiple logistic regression analysis. Results: The CRE colonization rate was 5% (47 out of 933 patients), and Klebsiella pneumoniae (68.0%) was the most common isolate of CRE. The positivity rate of carbapenemase-producing Enterobacteriaceae was 61.7%. The risk factors for CRE colonization included renal disease (odds ratio [OR]=4.93; 95% confidence interval [CI], 1.49-16.31), heart disease (OR=3.86; 95% CI, 1.35-11.01), indwelling urinary catheters (OR=4.43; 95% CI, 1.59-12.36), and cephalosporin antibiotic use (OR=8.57; 95% CI, 1.23-59.60). Conclusion: Having a comorbid renal or cardiac disease, an indwelling urinary catheter, or a history of exposure to cephalosporin antibiotics could be classified as risk factors for CRE colonization in patients transferred to small and medium-size hospitals. It is necessary to perform active infection control through proactive CRE culture testing of patients with risk factors.