• Title/Summary/Keyword: longitudinal changes

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Subcortical Ischemic Change as a Predictor of Driving Cessation in the Elderly

  • Jang, Mi;Hong, Chang Hyung;Kim, Hyun-Chung;Choi, Seong Hye;Seo, Sang Won;Kim, Seong Yoon;Na, Duk L.;Lee, Yunhwan;Chang, Ki Jung;Roh, Hyun Woong;Son, Sang Joon
    • Psychiatry investigation
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    • v.15 no.12
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    • pp.1162-1167
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    • 2018
  • Objective Motor, perceptual, and cognitive functions are known to affect driving competence. Subcortical ischemic changes on brain magnetic resonance imaging (MRI) can reflect reduction in cognitive and motor performance. However, few studies have reported the relationship between subcortical ischemic changes and driving competence of the elderly. Thus, the objective of this study was to investigate the association between subcortical ischemic changes on MRI and driving abilities of the elderly. Methods Participants (n=540) were drawn from a nationwide, multicenter, hospital-based, longitudinal cohort. Each participant underwent MRI scan and interview for driving capacity categorized into 'now driving' and 'driving cessation (driven before, not driving now)'. Participants were divided into three groups (mild, n=389; moderate, n=116; and severe, n=35) depending on the degree of white matter hyperintensity (WMH) on MRI at baseline. Driving status was evaluated at follow-up. Statistical analyses were conducted using ${\chi}^2$ test, analysis of variance (ANOVA), structured equation model (SEM), and generalized estimating equation (GEE). Results In SEM, greater baseline degree of WMH was directly associated with driving cessation regardless of cognitive or motor dysfunction (${\beta}=-0.110$, p<0.001). In GEE models after controlling for age, sex, education, cognitive, and motor dysfunction, more severe change in the degree of WMH was associated with faster change from 'now driving' state to 'driving cessation' state over time in the elderly (${\beta}=-0.508$, p<0.001). Conclusion In both cross-sectional and longitudinal results, the degree of subcortical ischemic change on MRI might predict driving cessation in the elderly.

The Effect of Incentives on Internet Surveys: Response Rate Changes After the Introduction of Incentives

  • Kennedy, John M.;Ouimet, Judith A.
    • Asian Journal for Public Opinion Research
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    • v.1 no.2
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    • pp.128-146
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    • 2014
  • Incentives are often included in survey design because they are known to improve response rates, at least moderately. This paper describes the changes in the response rates when incentives were introduced into a longitudinal survey. The National Survey of Student Engagement was conducted annually at Indiana University Bloomington from 2000 through 2012. In 2010, incentives were introduced in an attempt to reverse the declining response rates. The incentives performed as expected, raising the AAPOR Response Rate 3 from 24% in 2009 to 36% in 2010. From 2010 through 2012, different types of incentives were tried but the response rates did not change substantially. The results from the changes in incentives can help survey practitioners decide the number and types of incentives that might be used effectively to increase response rates.

Impact of Weight Change on Decline of Cognitive Function Among Korean Adults (체중 변화가 인지기능 저하에 미치는 영향)

  • Kim, Seungyeon;Shin, Sangyoon;Yoo, Hyejin;Park, Gi Hyue;Lee, Jee-Young;Lee, Jeong Sang;Lee, Euni
    • Korean Journal of Clinical Pharmacy
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    • v.29 no.4
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    • pp.238-246
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    • 2019
  • Background: In South Korea, as an aged society, an understanding of dementia and its risk factors is important from clinical and healthcare policy perspectives. Relationship between cognitive impairment and body weight or weight changes have been reported, but these were contradictory. We have evaluated the association between weight changes and cognitive decline using national level longitudinal data. Methods: Data from the Korean Longitudinal Study of Ageing from 2006 to 2012 were used. Association between weight changes and decline in cognitive function as measured by K-MMSE (the Korean version of the Mini-mental state examination) score was assessed by multivariate logistic regression. Weight changes were calculated from 1st wave and 3rd wave survey data, and classified into five groups as stable, increases, decreases of >10%, or 5%-10%. Results: About 37% of the total participants (n=4,512) were 65 years or older. These participants made up the largest proportion of the groups with weight change exceeding 10%. Multivariate logistic regression analyses revealed that weight changes exceeding 10% (10% increase vs stable, adjusted OR [aOR] 1.47, 95% confidence interval (CI) 1.11-1.95; 10% decrease vs stable, aOR 1.44, 95% CI 1.11-1.88) were significant predictive factors for decline in cognitive function. In subgroup analyses, the association between weight changes and cognitive decline was significant in males aged over 65 years and in normal BMI groups. Conclusion: Weight changes, both increases and decreases exceeding 10% of baseline, were significantly associated with declines in cognitive function among older adults in South Korea.

Estimating the Longitudinal Change in Academic Achievements of Multicultural Adolescents by Piecewise Growth Modeling (분할함수 성장모형을 활용한 다문화 청소년의 학업성취 변화 추정 및 예측요인 탐색)

  • Yeon, Eun Mo;Choi, Hyo-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.370-379
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    • 2020
  • The purpose of this study is to estimate the longitudinal changes in the academic achievement of Korean adolescents who transition from elementary to middle school and examine the individual and social factors of the changes using piecewise growth modeling. For this study, the Multicultural Adolescents Panel Study (MAPS) data from 1st to 6th waves (4th-9th grade) were used. The results are as follows. First, the results showed that the piecewise growth function was the most appropriate method to explain changes in the academic achievement of Korean adolescents with respect to the time of vacation. Second, adolescents' academic achievement declined constantly and was greater for middle school students. Third, parental efficacy, self-esteem, and support from friends had a significant positive effect, while uninvolved parenting and acculturation stress had a significant negative effect on the initial value of academic achievement. Self-esteem and support from friends in the 4th grade prohibit its decline in the first change rate of academic achievements. Meanwhile, acculturation stress for 4th-grade students accelerates the decline of academic achievement.

Analysis of change of internal organ in the Inter-and Intrafraction using MVCT (MVCT를 이용한 치료 간(Interfraction) 그리고 치료 중(Intrafraction) 내부 장기 변화 분석)

  • Jung, Won Seok;Kim, Ju Ho;Kim, Young Jae;Shin, Ryung Mi;Oh, Jeong Hun;Jeong, Geon A;Jo, Jun Young;Kim, Gi Chul;Choi, Tae Kyu
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.1
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    • pp.115-126
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    • 2014
  • Purpose : Depending on a variety of therapeutic areas using MVCT(Megavoltage computed tomography) intra-and interfraction is to evaluate changes in patient position. Materials and Methods : In this study, head and neck, thorax, liver, and prostate tumor patients, 48 people with a full course of treatment for patients with various MVCT scan was performed. Average 60 per patient MVCT images were acquired and analyzed. Results : Interfraction error thorax and abdomen, and pelvis in the longitudinal difference was more than 3 mm. Intrafraction to see a change after the end of treatment MVCT taken, and the results confirmed Intrafraction 2 mm in motion around the longitudinal difference. In addition, due to changes in the movement before and after treatment, Inter-and Intrafraction difference was found. Conclusion : In the present study, the Head and Neck, Thorax, liver, prostate cancer in patients with inter-and intrafraction changes and target the appropriate fixtures to complete the outline of the margin would be helpful is considered.

Longitudinal Patterns of Stages of Changes in Smoking Behaviors among Korean Adult Smokers: Applying the Transtheoretical Model of Change (범이론적 모델에 기반을 둔 흡연자의 금연행동 변화단계에 대한 탐색적 연구)

  • Park, Hyunyong;Jun, Jina;Sohn, Sunju
    • Korean Journal of Social Welfare Studies
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    • v.49 no.1
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    • pp.5-28
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    • 2018
  • Smoking is one of the important public health concerns because it is preventable causes regarding individuals' negative health consequences and increased social and economic cost. However, few studies have examined longitudinal patterns of stages of changes(SOC) in smoking behaviors among the general population. The purpose of the study is to explore the latent patterns of SOC over time among Korean adult smokers using the 2008-2016 Korea Welfare Panel Study. A repeated measure latent class analysis is employed in the present study. The finding of the present study are as follows: First, four latent groups were identified: (1) action/maintenance stage(33.6%), (2) contemplation/preparation to action/maintenance stage(14.8%), (3) continuously contemplation/preparation stage(29.6%), and (4) continuously pre-contemplation stage(22.1%). Second, the results of a multinomial logistic regression found that socio-demographic and clinical characteristics were associated with the identified longitudinal patterns of smoking behaviors. Compared to a continuously pre-contemplation stage, higher levels of depressive symptoms and drinking behavior were associated with increased odds of being in action/maintenance stage. The findings of the present study highlight that a tailored intervention is needed for individuals with continuously pre-contemplation stage and contemplation stage.

A Review of Brain Magnetic Resonance Imaging Correlates of Successful Cognitive Aging (뇌자기공명영상의 노화에 따른 변화)

  • Ji, Eun-Kyung;Chung, In-Won;Youn, Tak
    • Korean Journal of Biological Psychiatry
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    • v.21 no.1
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    • pp.1-13
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    • 2014
  • Normal aging causes changes in the brain volume, connection, function and cognition. The brain changes with increases in age and difference of gender varies at all levels. Studies about normal brain aging using various brain magnetic resonance imaging (MRI) variables such as gray and white matter structural imaging, proton spectroscopy, apparent diffusion coefficient, diffusion tensor imaging and functional MRI are reviewed. Total volume of brain increases after birth but decreases after 9 years old. During adulthood, total volume of brain is relatively stable. After 35 years old, brain shrinks gradually. The changes of gray and white matters by aging show different features. N-acetylaspartate decreases or remains unchanged but choline, creatine and myo-inositol increase with aging. Apparent diffusion coefficient decreases till 20 years old and then becomes stable during adulthood and increase after 60 years old. Diffusion tensor properties in white matter tissue are variable during aging. Resting-state functional connectivity decreases after middle age. Structural and functional brain changes with normal aging are important for studying various psychiatric diseases such as dementia, schizophrenia and bipolar disorder. Our review may be helpful for studying longitudinal changes of these diseases and successful aging.

A Longitudinal Study on the Effect of Participation in Private Education on Mathematics Achievement : For Elementary and Junior High School Students (사교육 참여가 수학 학업성취도에 미치는 영향에 대한 종단연구 : 초·중학생을 대상으로)

  • Kim, YongSeok
    • Education of Primary School Mathematics
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    • v.23 no.4
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    • pp.207-227
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    • 2020
  • The demand for private education in Korea is steadily increasing every year, and the participation rate of private education is increasing as the grade goes down. In order to empirically verify the effectiveness of private education, it is necessary to analyze through longitudinal data that has been mainly investigated over a long period of time. This study investigated the longitudinal changes in mathematics academic achievement and participation time in mathematics private education using longitudinal data from 2013 (4th grade in elementary school) to 2017 (2nd grade in middle school) of the Seoul Education Longitudinal Study. The students were divided into groups in which mathematics academic achievement changed similarly as the grade went up, and the effect of mathematics academic achievement was examined according to the change of participation time in private mathematics education for each group. As a result of the study, it was found that the participation time of private math education of all students continuously increased from the 5th grade of elementary school to the 2nd grade of middle school, and the participation time of private math education by group was different. In addition, the effect of private tutoring by group was different according to the group.

Verification of the longitudinal relationship between mothers' cultural adaptation patterns, multicultural acceptability of multicultural adolescents, and national identity: Focusing on the mediating effect of the autoregressive cross-lagged model (어머니의 문화적응유형과 다문화청소년의 다문화수용성, 국가정체성 간 종단관계 검증: 자기회귀교차지연모형의 매개효과를 중심으로)

  • Lee, Hyoung-Ha;Yun, Jin-Mi;Han, Ji-Yun
    • Journal of Digital Convergence
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    • v.19 no.10
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    • pp.453-467
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    • 2021
  • In this study, the autoregressive cross-lagged model was applied to verify the longitudinal correlation between the three factors and the pattern of changes over time in the mother's cultural adaptation type, the multicultural acceptability of multicultural adolescents, and national identity. For the study, longitudinal data from the 2nd, 4th, 6th, and 8th years of the MAPS tracked from the 5th grade of elementary school to the 2nd grade of high school were used for analysis. As a result of the analysis, all four types of mother's acculturation were analyzed to have a significant longitudinal effect over time. The four types of mothers' cultural adaptation were analyzed to have a longitudinal mediating effect on the relationship between the national identity of multicultural youth. Based on these analysis results, it is necessary to provide a continuous acculturation support program. In order to have a sense of belonging and solidarity with the country, it was suggested that education to increase multicultural receptivity should be carried out in parallel.

A Longitudinal Study on Customers' Usable Features and Needs of Activity Trackers as IoT based Devices (사물인터넷 기반 활동량측정기의 고객사용특성 및 욕구에 대한 종단연구)

  • Hong, Suk-Ki;Yoon, Sang-Chul
    • Journal of Internet Computing and Services
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    • v.20 no.1
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    • pp.17-24
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    • 2019
  • Since the information of $4^{th}$ Industrial Revolution is introduced in WEF (World Economic Forum) in 2016, IoT, AI, Big Data, 5G, Cloud Computing, 3D/4DPrinting, Robotics, Nano Technology, and Bio Engineering have been rapidly developed as business applications as well as technologies themselves. Among the diverse business applications for IoT, wearable devices are recognized as the leading application devices for final customers. This longitudinal study is compared to the results of the 1st study conducted to identify customer needs of activity trackers, and links the identified users' needs with the well-known marketing frame of marketing mix. For this longitudinal study, a survey was applied to university students in June, 2018, and ANOVA were applied for major variables on usable features. Further, potential customer needs were identified and visualized by Word Cloud Technique. According to the analysis results, different from other high tech IT devices, activity trackers have diverse and unique potential needs. The results of this longitudinal study contribute primarily to understand usable features and their changes according to product maturity. It would provide some valuable implications in dynamic manner to activity tracker designers as well as researchers in this arena.