• 한국학교보건학회지
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• 제16권1호
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• pp.9-21
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• 2003

The present study was designed to evaluate the factors influential on stress and subjective fatigue symptoms based on school life environments and daily life styles among high school students. The self-administered questionnaires were delivered to 2,381 high school students of both sexes in Taejon Metropolitan city during the period from Mar. 1st to Jun. 30th, 2000. The analysis of study results revealed the following findings: 1. According to the magnitude of stress, the normal subjects were 3.1%, the groups with potential stress were 64.7%, and the groups at high risk for stress were 32.2%. Higher level of stress existed in the female than the male students, and in the third grader than the 1st and 2nd graders. According to the classification of typical constitutional symptoms of fatigue, category III (group with bodily projection of fatigue) was the most frequent and it was followed by category II (group with difficulty in concentration) and category I (group with dullness and sleepiness) in a decreasing order of frequency, which showed that the predominant pattern of fatigue arose from the body parts. 2. With regard to the school life characteristics and stress scores, the higher scores of stress were shown in the groups with the lower grades, with worse friend's relation and with the lower satisfaction with the school life. The scores for the subjective fatigue symptoms were higher in the male, in the low graders, in the better friend's relation, and in the satisfactory group than the respective counterparts. 3. Concerning home life characteristics, the higher scores of stress were associated with the students characterized by the recognized poor economic conditions, lower interests of parents, lack of satisfaction with the home life, the poor subjective health status. On the other hand, the scores for the subjective fatigue symptoms were higher in the student groups with good economic conditions, higher interests of parents, presence of satisfaction with the home life, and good subjective health status. 4. Concerning daily life styles, the higher scores of stress were in the students who had inappropriate sleep hours, skipped breakfasts, daily consumption of intermeal snacks, lack of exercise, daily smoking, normal indices of obesity, and lower indices of health habit. Conversely, the scores of subjective fatigue symptoms were higher in the groups who had daily breakfasts, no intermeal snacks, daily exercise, no smoking than their counterparts. 5. The factors exerting influence upon the stress included the satisfaction with school life, friend's relation, satisfaction with the home life, exercise, school grades, interests of parents, school year, sex, scores of health habit, degree of obesity, economic conditions of home. Those influencing on the degree os stress included stress, intermeal snacks, smoking, friend's relation and satisfaction with the home life.

• Advances in pediatric surgery
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• 제12권1호
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• pp.53-69
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• 2006

This is a survey on congenital posterolateral diaphragmatic hernia, conducted by the Korean Association of Pediatric Surgeons(KAPS). A registration form for each patient during the 5-year-period between 1998 and 2002 and a questionaire were sent to each member. Twenty-ninemembers in 22 institutions returned completed forms. The average number of patients per surgeon was 1.4 cases a year. The male to female ratio was 1.64: 1, and annual incidencewas 1/14,522 live births. In this review, factors influencing survival in congenital posterolateral diaphragmatic hernia were age at admission, birth weight, time of antenatal diagnosis, birth place, Apgar score, onset time of symptoms and signs, preoperative cardiopulmonary resuscitation, associated anomalies of themusculoskeletal system, central nervous system, or chromosomes, preoperative stabilization, levels of preoperative $FiO_2$, pH, and $AaDO_2$, perioperative complications, bilaterality of defect, size of the defect, and presence or absence of hernia sac.

• 한국산학기술학회논문지
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• 제20권12호
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• pp.254-264
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• 2019

본 연구는 교통사고 환자의 외상후 스트레스 장애 위험정도, 회복탄력성 및 사회적 관계망이 외상후 성장에 미치는 영향을 알아보기 위해 시도된 서술적 상관관계 연구이다. 연구대상자는 K도 C시 소재 100병상 이상 5개 병원의 교통사고 환자 158명이었으며, 2018년 7월 1일부터 8월 31일까지 구조화된 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 t-test, ANOVA, Pearson's correlation coefficients, Multiple Regression으로 분석하였다. 외상후 성장에 미치는 영향요인을 파악한 결과, 연구의 설명력은 36.9%로 나타났으며, 대상자의 외상후 성장에 미치는 영향요인은 사회적 관계망, 외상후 스트레스 장애 위험정도 순으로 나타났다. 또한 사회적 관계망은 회복탄력성과 외상후 성장의 관계를 완전매개하였다. 이를 토대로, 교통사고 환자의 사회적 관계망이 크고 외상후 스트레스 장애 위험정도가 클수록 외상 후 성장이 높아짐을 확인하였고, 사회적 관계망은 회복탄력성과 외상후 성장의 관계를 완전매개한다는 것을 확인하였다. 따라서 교통사고 환자의 외상후 성장을 돕기 위해 사회적 관계망과 회복탄력성 향상 방안에 대해 모색할 필요가 있고, 교통사고 환자에 대한 반복적이고 장기적인 관찰을 통해 외상후 성장에 대한 추가연구가 필요할 것으로 사료된다.

• 대한예방한의학회지
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• 제17권1호
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• pp.181-197
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• 2013

Objectives : This study aimed to assess the differences in treatment behavior by reviewing data of a medical institution that studies treatment behavior in URI and assessing the treatment efficacy in Korea. Methods : We analyzed the behavior of medical customers and providers of upper respiratory infection medications using the NPS published by the Health Insurance Review Assessment Service. We created an operational definition for complications, and confirmed the difference in complication distribution between medical specialties. We also performed a multivariate analysis using a mixed model to elucidate the factors influencing the occurrence of complications. Results : The outcomes of analyzing factors to influence the difference in practice patterns of the diagnosing URI between the physicians are as follows; (1) Analysis of antibiotics prescriptions rate showed significant difference from medical departments (pediatrics; 49.7%, internal medicine; 54.2%, otorhinolaryngology; 69.6%, family medicine; 61.6%, general surgery; 57.5%, p<0.001). Analysis of steroid prescriptions rate showed significant difference from medical departments (pediatrics; 3.8%, internal medicine; 4.5%, otorhinolaryngology; 5.4%, family medicine; 3.0%, general surgery; 11.2%, p<0.001). (2) In patients who visited medical institutes with the common cold, the complication distribution differed according to the medical specialty, which suggests that specific complications arise depending on the particular medical specialty (p<0.001). (3) Moreover, through multivariate analysis, we found that the complication rate is higher in clinics than in hospitals, depending on the institute's size. (p<0.001; odds ratio of 4.67 in clinics than in hospitals, 95% CI 2.66-8.21) Conclusions : We observe a deviation between the behavior of patients diagnosed with URI and medication providers. This may arise from the interaction between providers and consumers, wherein the complications are associated with the choice of outpatient department and the prevention of cutting incentives. These findings suggest that the health policies should be improved to prevent inappropriate medical practice in the treatment of pediatric URI.

• 문화기술의 융합
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• 제6권4호
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• pp.445-452
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• 2020

본 연구의 목적은 간호대학생의 눈치와 학습몰입도. 의사소통능력 간의 상관관계와 의사소통능력에 미치는 요인을 파악하기 위하여 실시되었다. 자료수집은 K광역시에 소재한 일 간호대학에 재학 중인 260명을 대상으로 연구기간은 2019년 3월 5일부터 4월 17일까지 구조화된 설문지를 이용하여 실시하였다. 자료분석은 SPSS WIN21을 이용하여 빈도, paired t-test. ANOVA, Pearson's correlation coefficients, 다중회귀분석을 이용하였다. 연구결과 간호대학생의 눈치와 학습몰입도는 유의한 순 상관관계를 보였으며(r=.502, p<.001), 눈치와 의사소통능력(r=.619, p<.001), 학습몰입도와 의사소통능력(r=.567, p<.001)에서도 유의한 순 상관관계가 있는 것으로 나타났다. 간호대학생의 의사소 능력에 영향을 미치는 요인은 눈치(β=.381, p<.001)와 학습몰입도(β=.243, p<.001), 실습만족도(β=.107, p<.028) 순으로 나타났다. 또한 이들 변수의 의사소통능력에 대한 설명력(R²)은 47.4% 이었다. 따라서 간호대학생의 의사소통능력 향상을 위한 눈치와 학습몰입도 강화 프로그램 개발 및 전략이 필요하다.

• 사회복지연구
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• 제40권3호
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• pp.181-211
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• 2009

본 연구는 사회인지직업이론 (Social Cognitive Career Theory)을 근거로, 동양계 미국인의 문화적응도 (levels of acculturation)와 이민 세대 (family immigration status)에 따라 주변인들의 불인정 (disapproval by significant others)으로 인한 진로선택의 어려움과 부모의 진로에 대한 관여도 (parental involvement)가 달라진다는 가설을 검증하였다. 사회조사연구로 설계되었으며 370명의 동양계 미국사회복지사의 자료를 분석하였다. 연구결과, 이민세대에 따라 진로선택에 관련하여 부모의 관여도와 주변인들의 불인정으로 인한 진로어려움이 달라지는 것으로 나타났다. 그러나 문화적응도는 부모의 진로 관여도와 주변인들의 불인정으로 인한 진로선택의 어려움에 유의미하게 영향을 미치지 않는 것으로 나타났다. 연구결과를 바탕으로 진로선택행동에 영향을 미치는 문화적 요인들을 고려한, 동양계 미국인들을 위한 진로상담에 대한 함의가 논의되었다.

• 한국정보시스템학회지:정보시스템연구
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• 제32권4호
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• pp.211-227
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• 2023

Purpose In the contemporary landscape, marked by the enduring impact of COVID-19 and the recent disruptions stemming from the conflict in Ukraine, the purpose of this study is to navigate the era characterized by pervasive risk and uncertainty. Specifically, the study aims to dissect the impact of the COVID-19 outbreak on digital transformation, exploring the factors influencing this process and considering the multifaceted dynamics at play. The focus extends to the post-COVID-19 landscape, scrutinizing the implications and meanings of digital transformation both before and after the pandemic. Additionally, the study delves into future digital trends, with particular attention to climate and environmental issues, emphasizing corporate responsibilities in averting crises similar to COVID-19. The overarching goal is to provide a holistic perspective, shedding light on both positive and negative facets of digital transformation, and advocating for regulatory enhancements and legal frameworks conducive to a balanced and resilient digital future. Design/methodology/approach This study employs a comprehensive approach to analyze the impact of the COVID-19 outbreak on digital transformation. It considers various facets, such as smart devices reshaping daily routines, transformative changes in corporate ecosystems, and the adaptation of government institutions to the digital era within the broader context of the Fourth Industrial Revolution. The analysis extends to the post-COVID-19 landscape, examining the implications and meanings of digital transformation. Future digital trends, especially those related to climate and environmental issues, are prognosticated. The methodology involves a proactive exploration of challenges associated with digital transformation, aiming to advocate for regulatory enhancements and legal frameworks that contribute to a balanced and resilient digital future. Findings The findings of this study reveal that the digital economy has gained momentum, accelerated by the proliferation of non-face-to-face industries in response to social distancing imperatives during the COVID-19 pandemic. Digital transformation, both preceding and succeeding the onset of the pandemic, has precipitated noteworthy shifts in various aspects of daily life. However, challenges persist, and the study highlights factors that either bolster or hinder the transformative process. In the post-COVID-19 era, corporate responsibilities in averting crises, particularly those resembling the pandemic, take center stage. The study emphasizes the need for a holistic perspective, acknowledging both positive and negative facets of digital transformation. Additionally, it calls for proactive measures, including regulatory enhancements and legal frameworks, to ensure a balanced and resilient digital future.

• Journal of Preventive Medicine and Public Health
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• 제56권5호
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• pp.467-474
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• 2023

Objectives: Diabetes mellitus (DM) is a serious public health issue that places a heavy financial, social, and health-related burden on individuals, families, and healthcare systems. Self-reported health-related quality of life (HRQoL) is extensively used for monitoring the general population's health conditions and measuring the effectiveness of interventions. Therefore, this study investigated HRQoL and associated factors among patients with type 2 DM at a primary healthcare center in Indonesia. Methods: A cross-sectional study was conducted in Klaten District, Central Java, Indonesia, from May 2019 to July 2019. In total, 260 patients with DM registered with National Health Insurance were interviewed. HRQoL was measured with the EuroQol Group's validated Bahasa Indonesia version of the EuroQoL 5-Dimension 5-Level (EQ-5D-5L) with the Indonesian value set. Multivariate regression models were used to identify factors influencing HRQoL. Results: Data from 24 patients were excluded due to incomplete information. Most participants were men (60.6%), were aged above 50 years (91.5%), had less than a senior high school education (75.0%), and were unemployed (85.6%). The most frequent health problems were reported for the pain/discomfort dimension (64.0%) followed by anxiety (28.4%), mobility (17.8%), usual activities (10.6%), and self-care (6.8%). The average EuroQoL 5-Dimension (EQ-5D) index score was 0.86 (95% confidence interval [CI], 0.83 to 0.88). In the multivariate ordinal regression model, a higher education level (coefficient, 0.08; 95% CI, 0.02 to 0.14) was a significant predictor of the EQ-5D-5L utility score. Conclusions: Patients with diabetes had poorer EQ-5D-5L utility values than the general population. DM patients experienced pain/discomfort and anxiety. There was a substantial positive relationship between education level and HRQoL.

• Korean Journal of Radiology
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• 제21권6호
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• pp.695-706
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• 2020

Objective: To investigate the technical and clinical efficacy of the percutaneous insertion of a biliary metallic stent, and to identify the factors associated with biliary stent dysfunction in patients with malignant duodenobiliary obstruction. Materials and Methods: The medical records of 70 patients (39 men and 31 women; mean age, 63 years; range, 38-90 years) who were treated for malignant duodenobiliary obstruction at our institution between April 2007 and December 2018, were retrospectively reviewed. Variables found significant by univariate log-rank analysis (p < 0.2) were considered as suitable candidates for a multiple Cox's proportional hazard model. Results: The biliary stents were successfully placed in all 70 study patients. Biliary stent insertion with subsequent duodenal stent insertion was performed in 33 patients and duodenal stent insertion with subsequent biliary stent insertion was performed in the other 37 study subjects. The median patient survival and stent patency time were 107 days (95% confidence interval [CI], 78-135 days) and 270 days (95% CI, 95-444 days), respectively. Biliary stent dysfunction was observed in 24 (34.3%) cases. Multiple Cox's proportional hazard analysis revealed that the location of the distal biliary stent was the only independent factor affecting biliary stent patency (hazard ratio, 3.771; 95% CI, 1.157-12.283). The median biliary stent patency was significantly longer in patients in whom the distal end of the biliary stent was beyond the distal end of the duodenal stent (median, 327 days; 95% CI, 249-450 days), rather than within the duodenal stent (median, 170 days; 95% CI, 115-225 days). Conclusion: The percutaneous insertion of the biliary metallic stent appears to be a technically feasible, safe, and effective method of treating malignant duodenobiliary obstruction. In addition, a biliary stent system with a distal end located beyond the distal end of the duodenal stent will contribute towards longer stent patency in these patients.

• 한국건축시공학회지
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• 제24권3호
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• pp.381-391
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• 2024

안전관리자는 체크리스트를 기반으로 자신의 경험, 지식, 및 프로젝트의 특성을 종합하여 작업 환경의 위험을 평가한다. 이러한 방법은 안전관리자 간의 위험 인식의 차이를 가져올 수 있다. 에어컨 시공 분야에서의 산업재해가 증가하고 있음에도 불구하고, 대부분의 연구가 대규모 프로젝트에 집중되어 있어, 에어컨 시공 분야의 특수한 안전관리 요구 사항을 충족시키는 체크리스트 개발에 한계가 있다. 이에 본 연구는 에어컨 설치 공사에 종사하는 안전관리자들의 개인적 특성(연령, 전공)과 공사 관련 요소(공사 비용, 착수 시기)가 체크리스트에 따른 안전 점수에 미치는 영향을 분석하고자 한다. A사로부터 수집한 7,046건의 안전 점수 데이터의 분석 결과, 프로젝트의 착수 시기가 안전 점수에 가장 큰 영향을 미쳤으며(0.21), 안전관리자의 연령 역시 제한적으로 영향을 미치는 것으로 나타났다(0.06). 그러나, 안전관리자의 전공은 점수에 영향을 주지 않았으며, 프로젝트의 공사 비용은 안전 점수와 음의 관계(-0.1)를 보였다. 이 연구는 프로젝트의 규모와 시기를 고려한 맞춤형 안전 작업 체크리스트 개발의 필요성과 다양한 연령의 안전관리자를 균형있게 배치하는 전략의 중요성을 강조한다.