• Title/Summary/Keyword: contextual effects

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Service Quality beyond Access: A Multilevel Analysis of Neonatal, Infant, and Under-Five Child Mortality Using the Indian Demographic and Health Survey 2015~2016

  • Kim, Rockli;Choi, Narshil;Subramanian, S.V.;Oh, Juhwan
    • Perspectives in Nursing Science
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    • v.15 no.2
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    • pp.49-69
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    • 2018
  • Purpose: The purpose of this study was to derive contextual indicators of medical provider quality and assess their relative importance along with the individual utilization of antenatal care (ANC) and institutional births with a skilled birth attendant (SBA) in India using a multilevel framework. Methods: The 2015~2016 Demographic and Health Survey (DHS) from India was used to assess the outcomes of neonatal, infant, and under-five child mortality. The final analytic sample included 182,980 children across 28,283 communities, 640 districts, and 36 states and union territories. The contextual indicators of medical provider quality for districts and states were derived from the individual-level number of ANC visits (<4 or ${\geq}4$) and institutional delivery with SBA. A series of random effects logistic regression models were estimated with a stepwise addition of predictor variables. Results: About half of the mothers (47.3%) had attended ${\geq}4$ ANC visits and 75.8% delivered in institutional settings with SBAs. Based on ANC visits, 276~281 districts (43.1~43.9%) and 13~16 states (36.5~44.4%) were classified as "low" quality areas, whereas 268~285 districts (41.9~44.5%) and 8~9 states (22.2~25.0%) were classified as "low" quality areas based on institutional delivery with SBAs. Conditional on a comprehensive set of covariates, the individual use of both ANC and SBA were significantly associated with all mortality outcomes (OR: 1.17, 95% CI: 1.08, 1.26, and OR: 1.10, 95% CI: 1.02, 1.19, respectively, for under-five child mortality) and remained robust even after adjusting for contextual indicators of medical provider quality. Districts and states with low quality were associated with 57~61% and 27~43% higher odds of under-five child mortality, respectively. Conclusion: When simultaneously considered, district- and state-level provider quality mattered more than individual access to care for all mortality outcomes in India. Further investigations are needed to assess the importance of improving the quality of health service delivery at higher levels to prevent unnecessary child deaths in developing countries.

Effects of Psychological Capital on the Job Performance of Public Enterprise Employees (심리적 자본이 공기업 종사자의 직무수행에 미치는 영향)

  • Kim, Sung-Jong
    • The Journal of the Korea Contents Association
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    • v.19 no.1
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    • pp.293-303
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    • 2019
  • The purpose of this research is to investigate the psychological factors affecting job performance of public enterprise employee. Based on the literature review, three types of job performance are identified, which are behavioral responses to the demands from job environment. They are named as task performance, contextual performance, and adaptive performance. As independent variables, four factors were selected form positive psychological concepts, which are self-efficacy, hope, optimism, and resilience. These are the factors which compose of the concept of psychological capital. All the factors are hypothesized to positively affect job performances. From the regression analysis results, all the psychological factors in the model were turned out to have statistically significant impacts on the job performances. The importance of variable 'resilience' were dominant all three models, which might be interpreted as a behavioral response to the demands from uncertain organizational enviornments. From the marginal effect analysis, contextual performance decreases first five years, then reach peak at 20th. year. These results demonstrates that mid-level employees in the organizational hierarchy are more concerned with the overall performance of organization.

The relationship of trait anger and social avoidance with workplace bullying victimization among male and female office workers: The moderating effects of organizational climate (남녀 사무직 직장인의 특성분노, 사회적 회피, 직장 내 괴롭힘 피해 간 관계: 조직 분위기의 조절효과를 중심으로)

  • Soyeong Choi;Hee-sun Jun;Seung-yeon Lee
    • Korean Journal of Culture and Social Issue
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    • v.23 no.1
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    • pp.53-74
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    • 2017
  • Workplace bullying is becoming one of social issues. The aim of the present study was to investigate whether the contextual variables(communication climate, social climate) moderate the relations between the individual variables(trait anger, social avoidance) and workplace bullying victimization. The self-report data of 207 office workers(115 men, 92 women) in Seoul and Gyeonggi-do was analyzed. The results of hierarchical regression indicate that trait anger positively predicted men's workplace bullying victimization only when social climate is bad. Social avoidance positively predicted men's bullying victimization only when communication climate is good. There was no moderating effect of the contextual variables among women. Trait anger positively predicted women's workplace bullying victimization only when considering communication climate as a contextual variable. Social avoidance has no significant effect on women's workplace bullying victimization. However, both communication climate and social climate negatively predicted women's victimization. The implications and suggestions for prevention and intervention of workplace bullying were discussed.

Experiences of Changes in Cognitive Function for Women treated with Chemotherapy for Breast Cancer (항암화학요법을 받은 유방암 여성의 인지기능변화 경험)

  • Chung, Bok-Yae;Byun, Hye-Sun;Kim, Gyung-Duck;Kim, Kyung-Hae;Choi, Eun-Hee
    • Women's Health Nursing
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    • v.18 no.1
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    • pp.1-16
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    • 2012
  • Purpose: The purpose of this study was to describe the experiences of the process of the change in cognitive function for women treated with chemotherapy for breast cancer. Methods: There were ten participants in total in this study. Data were gathered utilizing in-depth interviews over 3 times from September 2010 to January 2011. Data were analyzed by employing Strauss and Corbin's (1998) grounded theory methodology. Results: Findings indicate that causal conditions of these results were 'side effects of chemotherapy' and 'menopausal state', including contextual conditions as, 'mental fatigue' and 'anxiety about recurrence'. The core category was identified as 'confronting with unexpected chaos'. Intervening conditions were 'support from other people', 'lack of information on cognitive impairment'. Interaction strategies were 'changing the habit of life', 'making efforts for living life' and 'seeking for medical information'. Consequences of the process were 'physical restriction', 'difficulty in social life', 'disturbed working ability' and 'psychological distress'. Conclusion: The results of this study show that nurses should recognize there is a notable difference between individual patient's contextual conditions and interactive strategies. Furthermore educational information and individualized intervention should be provided to improve cognitive function for women with breast cancer.

Analysis of the current situation of Affective Characteristics of Korean Students Based on the Results of PISA and TIMSS (PISA와 TIMSS 결과에 나타난 우리나라 학생의 정의적 성취 실태 분석 - 수학 교과를 중심으로 -)

  • Choe, Seung-Hyun;Park, Sangwook;Hwang, Hye Jeang
    • Journal of the Korean School Mathematics Society
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    • v.17 no.1
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    • pp.23-43
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    • 2014
  • This study aims to develop strategies for improving the affective characteristics of Korean students based on results from international achievement tests. In pursuing the goal, different research methods are employed including a) analysis of the theories and literature regarding the affective domains included in PISA and TIMSS studies; b) analysis of the current situation and needs of Korean students with respect to the affective factors based on PISA and TIMSS results; c) case studies of best practices in relation to students' affective domains in Korea and abroad; and d) development of strategies for improving and supporting Korean students' affective characteristics. Especially, this paper describes meta-analyses of the results from the previous PISA and TIMSS studies. Afterwards, it reports statistical analyses results on the relationship between students' affective achievements and educational context variables. Data from TIMSS 2011, TIMSS 2007, PISA 2006, and PISA 2003 are used for the analyses, and contextual variables are selected through rigorous statistical analyses including frequency and correlation, and expert consultation. The effects of educational contextual variables on students' affective achievement in mathematics and science are analyzed through Hierarchical Linear Model.

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Effect of Contextual Variables on Mathematics Achievement -Based on Analysis of TIMSS 2007 Using Path Analysis- (학생의 배경 요인이 수학 성취도에 미치는 영향력 분석 -TIMSS 2007 자료를 활용한 경로분석을 중심으로-)

  • Lee, Hee-Jung;Park, Chun-Gun;Huh, Nan
    • Journal of the Korean School Mathematics Society
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    • v.15 no.3
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    • pp.585-603
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    • 2012
  • The purpose of this study is to explore the effects of the contextual variables on mathematics achievement based on TIMSS(the Trends in International Mathematics and Science Study) 2007 using Path Analysis with SEM(a Structural Equation Model). The books in the home, the highest level of education of mother, the highest level of education of father, the ambitions of education, the towards mathematics, the frequence of self study, and the times of homeworks are used as independent variables. The Mathematics achievement is dependent variable. The results of this analysis are as follows. First, parents' the highest level of education, the books holdings at home, and the towards effect the ambitions of education. The Mathematics achievement is indirectly being affected by them. Second, The Mathematics achievement is indirectly being affected by the ambitions of education, the towards mathematics, and the times of homeworks.

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The Effect of Context on Mental Rotation (맥락 정보가 심적 회전에 미치는 영향)

  • Jung, Il-Yung;Lee, Chang-Hyun;Lee, Mi-Sun;Chong, Sang-Chul
    • Korean Journal of Cognitive Science
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    • v.20 no.4
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    • pp.555-571
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    • 2009
  • This study investigated whether contexts could influence the speed of mental rotation. Experiment 1 investigated whether the angle of neighboring letters influenced the recognition of the target letter. Reaction time of target recognition increased linearly, as angular differences between the angle of the target letter and that of neighboring letters increased. Moreover, this trend was more pronounced when the target and neighboring letters made a word as compared to when they did not. Experiment 2 examined the effects of practice difficulty on mental rotation. Reaction time again increased linearly with the degree of angular rotation. However, there were no significant differences between the easy and the difficult conditions. These results suggest that contextual information is important in mental rotation.

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Research on the Quality of Life of the Parents by Functions, Activities, Participation, and Environmental Factors of Children with Cerebral Palsy Using ICF-CY Checklist

  • Kwon, Hyun Sook;Son, Sung Min
    • The Journal of Korean Physical Therapy
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    • v.30 no.1
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    • pp.35-40
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    • 2018
  • Purpose: This study examined whether the quality of life of parents of children with cerebral palsy is affected by the functions, activities, participation, and environmental factors using an ICF-CY check list. Methods: This study recruited in 26 parents of children with cerebral palsy. The functions, activities, participation, and environmental factors of the children were evaluated using ICF-CY checklist. To measure the quality of life of parents, this study used world health organization quality of life (WHOQOL-BREF), which was composed of a total of 26 questions. The GMFCS (gross motor function classification system) was used to assess the degree of disability in the children. Multiple regression analysis was performed to examine the effects of the ICF-CY checklist on the quality of life. Correlation analysis was performed to examine the correlation between GMFCS and WHOQOL. Results: The functions, activities, participation, and environmental factors were significantly different from WHOQOL-BREF. On the other hand, the contextual factor showed a significant difference in the neuromusculoskeletal and movement-related functions (b7), and service, systems, and policies (e5)(p<0.05). Conclusion: This study suggests that the functions and environmental factors affect the quality of life of parents of children with cerebral palsy. Therefore, these findings suggest that contextual factors, such as neuromusculoskeletal and movement-related functions (b7), and service, systems and policies (e5), which can be facilitators, should be considered for improving the quality of life of parents of children with cerebral palsy.

A Comparison of Deep Reinforcement Learning and Deep learning for Complex Image Analysis

  • Khajuria, Rishi;Quyoom, Abdul;Sarwar, Abid
    • Journal of Multimedia Information System
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    • v.7 no.1
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    • pp.1-10
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    • 2020
  • The image analysis is an important and predominant task for classifying the different parts of the image. The analysis of complex image analysis like histopathological define a crucial factor in oncology due to its ability to help pathologists for interpretation of images and therefore various feature extraction techniques have been evolved from time to time for such analysis. Although deep reinforcement learning is a new and emerging technique but very less effort has been made to compare the deep learning and deep reinforcement learning for image analysis. The paper highlights how both techniques differ in feature extraction from complex images and discusses the potential pros and cons. The use of Convolution Neural Network (CNN) in image segmentation, detection and diagnosis of tumour, feature extraction is important but there are several challenges that need to be overcome before Deep Learning can be applied to digital pathology. The one being is the availability of sufficient training examples for medical image datasets, feature extraction from whole area of the image, ground truth localized annotations, adversarial effects of input representations and extremely large size of the digital pathological slides (in gigabytes).Even though formulating Histopathological Image Analysis (HIA) as Multi Instance Learning (MIL) problem is a remarkable step where histopathological image is divided into high resolution patches to make predictions for the patch and then combining them for overall slide predictions but it suffers from loss of contextual and spatial information. In such cases the deep reinforcement learning techniques can be used to learn feature from the limited data without losing contextual and spatial information.

Contextual Factors and Rating Behavior in the Peer Evaluation System (동료평가 시스템에서의 상황맥락 요인과 평가행동)

  • Park, Jong-Hyuk
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.3
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    • pp.175-183
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    • 2012
  • The study investigates peer rating, one of the most commonly used sources of performance rating other than those of supervisors. On the whole, both field and laboratory studies indicate that peer assessment is a valid and reliable evaluation procedure, but on average, peer rating is not usually accurate. The aim of the investigation is to explore the relationship of beliefs and attitude about the performance appraisal system as well as a dispositional characteristic as self-monitoring with rating behavior. In particular, the study tests whether the relationship between rating context variables-appraisal self efficacy and appraisal validity- and rating behavior depends in part on the personality of the rater. Data from 445 undergraduate students are analyzed for hypotheses testing. The study finds evidences that the high on appraisal self efficacy and appraisal validity are more likely to affect discriminating rating tendency and to reduce rating level. Results also show that self-monitoring make the moderating effects between contextual factors and rating behaviors. Some implications, future research directions, and limitations are discussed.