• 제목/요약/키워드: longitudinal studies

검색결과 950건 처리시간 0.031초

Time Pressure, Time Autonomy, and Sickness Absenteeism in Hospital Employees: A Longitudinal Study on Organizational Absenteeism Records

  • Kottwitz, Maria U.;Schade, Volker;Burger, Christian;Radlinger, Lorenz;Elfering, Achim
    • Safety and Health at Work
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    • 제9권1호
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    • pp.109-114
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    • 2018
  • Background: Although work absenteeism is in the focus of occupational health, longitudinal studies on organizational absenteeism records in hospital work are lacking. This longitudinal study tests time pressure and lack of time autonomy to be related to higher sickness absenteeism. Methods: Data was collected for 180 employees (45% nurses) of a Swiss hospital at baseline and at follow-up after 1 year. Absent times (hours per month) were received from the human resources department of the hospital. One-year follow-up of organizational absenteeism records were regressed on self-reported job satisfaction, time pressure, and time autonomy (i.e., control) at baseline. Results: A multivariate regression showed significant prediction of absenteeism by time pressure at baseline and time autonomy, indicating that a stress process is involved in some sickness absenteeism behavior. Job satisfaction and the interaction of time pressure and time autonomy did not predict sickness absenteeism. Conclusion: Results confirmed time pressure and time autonomy as limiting factors in healthcare and a key target in work redesign.

Bayesian Conway-Maxwell-Poisson (CMP) regression for longitudinal count data

  • Morshed Alam ;Yeongjin Gwon ;Jane Meza
    • Communications for Statistical Applications and Methods
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    • 제30권3호
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    • pp.291-309
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    • 2023
  • Longitudinal count data has been widely collected in biomedical research, public health, and clinical trials. These repeated measurements over time on the same subjects need to account for an appropriate dependency. The Poisson regression model is the first choice to model the expected count of interest, however, this may not be an appropriate when data exhibit over-dispersion or under-dispersion. Recently, Conway-Maxwell-Poisson (CMP) distribution is popularly used as the distribution offers a flexibility to capture a wide range of dispersion in the data. In this article, we propose a Bayesian CMP regression model to accommodate over and under-dispersion in modeling longitudinal count data. Specifically, we develop a regression model with random intercept and slope to capture subject heterogeneity and estimate covariate effects to be different across subjects. We implement a Bayesian computation via Hamiltonian MCMC (HMCMC) algorithm for posterior sampling. We then compute Bayesian model assessment measures for model comparison. Simulation studies are conducted to assess the accuracy and effectiveness of our methodology. The usefulness of the proposed methodology is demonstrated by a well-known example of epilepsy data.

Patterns of Depressive Symptoms on Cognitive Function Decline: An Investigation in Middle-Aged Koreans Based on the Korean Longitudinal Study of Aging (KLoSA)

  • Seungyeon Kim
    • 한국임상약학회지
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    • 제34권2호
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    • pp.118-125
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    • 2024
  • Background: Numerous studies have consistently demonstrated that depression can be associated with cognitive function decline, primarily focusing on older adults due to the neurodegenerative characteristics of dementia. With persistent depression frequently reported in patients with early-onset or young-onset dementia, this study aimed to assess the impact of depression, specifically the changes in depressive symptoms over time, on the risk of cognitive function decline in middle-aged adults in Korea. Methods: This retrospective study utilized data from the first four waves (2006-2012) of the Korean Longitudinal Study of Aging (KLoSA), focusing on middle-aged adults with normal cognitive function at baseline. Changes in depressive symptoms were categorized into four groups based on the CES-D score, and their association with cognitive function decline was evaluated using a multivariate logistic regression model. Results: Of the initial 10,254 participants, 3,400 were included in the analysis. Depressive status, particularly newly onset (adjusted odds ratio [aOR] 1.96; 95% confidence interval [CI] 1.32-2.93) and persistent depression groups (aOR 5.59; 95% CI 2.90-10.78), were significantly associated with cognitive function decline. In contrast, recovery from depressive symptoms was not significantly associated with cognitive function decline (p=0.809). Conclusions: Our study showed a significant association between changes in depressive symptoms and cognitive function decline in middle-aged Korean adults. This suggests that management of depressive symptoms could be crucial for the prevention of cognitive function decline in this population.

시간차이에 따른 웹사이트 이용자의 웹사이트 신뢰도 요인 변화에 대한 연구 (A study on longitudinal differences in website user's trust factors)

  • 신길환;정천수;이춘열
    • 인터넷정보학회논문지
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    • 제13권2호
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    • pp.127-136
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    • 2012
  • IT산업은 기술과 트랜드가 빠르게 변화하는 대표적인 분야이다. 웹사이트 또한 이러한 IT분야의 대표적인 분야 중 한 분야로써, 기술발전속도가 빠른 IT산업의 특성에 따라서 새로운 서비스의 출현이나, 플랫폼의 변화가 다양하고, 빠르게 일어나고 있다. 또한, 웹사이트가 담고 있는 정보는 사회적 상황에 따라 의제의 변화와 노출빈도 등이 크게 달라진다. 따라서, 이러한 변화가 B2C 측면에서 웹사이트 신뢰도 요인에도 변화를 줄 수 있다고 본다. 이러한 관점에서 본 연구에서는 10년 전과 후의 데이터를 비교하여 신뢰도 요인에 대한 종적 연구를 실시함으로써, 선행연구에서 거의 다루어지지 않은 시간차이에 따른 웹사이트 이용자의 신뢰도 요인 변화를 분석하였다.

Changes of Students' Understanding of the Nature of Science After Two and Half Years of Public Science Education in Ontario Canada

  • Park, Hyeran;Woodruff, Earl
    • 과학교육연구지
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    • 제38권1호
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    • pp.57-77
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    • 2014
  • A longitudinal study traced changes in students' understanding of Nature Of science (NOS) through the public secondary science education in Ontario Canada. Although the concepts of NOS are complicated, and students' understandings are not easy to change, not many longitudinal studies have been done across the world. The current study tried to identify the changes of participating students' understandings of NOS for two and half years of public secondary science education in Ontario Canada. Pretest was administered using Views of Nature of Science (VNOS-C) when six participants graduated from a middle school of Toronto. Two and half years of secondary education, the posttest was carried out using the same instrument. After pre and posttest, probing interviews were performed. The analysis of the data was founded on the Standards and the conceptual framework for this study. The findings were that the initial views have little changed. Most examples and explanations the participants provided were from their science classes. Lab activities for confirming the existing laws and theories and observable photos in science textbooks made students regard the knowledge as a truth. Naturally, their knowledge has been expanded for 2 and 1/2 years, but this expansion of scientific knowledge led students toward Universalist views on science. On the other hand, when science was presented with a historical approach or was networked with other concepts, students acknowledged science and scientific knowledge had been induced from inferences as well as observations and experimental results. Based on the findings the authors of this research suggest that educating the knowledge of science should be historical and networked approaches rather than teaching the knowledge as concise and true statements of the nature.

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유아의 또래 상호작용이 언어·인지능력을 매개로 자기통제력에 미치는 종단적 영향: 성별의 차이를 중심으로 (The Longitudinal Effects of Preschoolers' Peer Interaction on Self-Control with Linguistic and Cognitive Abilities as Mediators: Focusing on Gender Differences)

  • 장유진;홍예지;이강이
    • Human Ecology Research
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    • 제56권2호
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    • pp.133-144
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    • 2018
  • The study examined the longitudinal relations of preschool children's peer interaction, linguistic and cognitive abilities, and self-control, while taking into account gender differences. The study was conducted with 671 preschoolers from the $5^{th}$, $6^{th}$, and $7^{th}$ wave of the Korean Children and Youth Panel Study (KCYPS). Data were analyzed by means of basic descriptive statistics, Pearson's correlations, and structural equation modeling analysis. Bootstrapping method was also used to determine the significance of indirect effects. The analysis were conducted to find the longitudinal effects of peer interaction at the age of 4 on their self-control at the age of 6, and the mediating effects of linguistics and cognitive abilities at the age of 5 on its associations. The results indicated gender differences among the variables. According to multi-group analysis, there was a significant influence of 4 years' peer interaction on subsequent 5 years' linguistic and cognitive abilities but also on 6 years' self-control across time for boys; however, no significant direct effect of peer interaction on self-control was found for girls. Based on the findings of this study, it can be implied that it is necessary to apply different methods for boys and girls to promote self-control from the influence of peer interaction and linguistic and cognitive abilities.

석굴암의 돌은 말한다: 석불사 석굴의 건축 평면과 벽면 설계 (The Stones of Seokguram Speak: Floor Plan and Wall Design of Seokbulsa Grotto)

  • 윤재신
    • 건축역사연구
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    • 제29권1호
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    • pp.21-37
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    • 2020
  • The purpose of this paper is to reconstruct the original floor plan and wall design of Seokbulsa Grotto in Kyungju; commonly known as 'Seokguram'. The paper presents an array of dimensional studies of the existing Seokguram to examine its architectural form, and infers the original floor plan and wall design of Seokbulsa Grotto. Seokbulsa Grotto is designed as a system of 'coherent modules' and was constructed using the dry stone method, which interlocks large stone modules into a whole that becomes the load-bearing structure itself. The design principles governing Seokbulsa Grotto are the spatial axis of symmetry, modular coordination, and the layout grid of a quarter Tang-Ruler(TR: 唐尺). Dimensional studies were conducted with these governing principles in mind and concludes the following about the original floor plan design. In the main chamber, Ansang-stone's radius is 12 TR, and Flagstone's radius is 12¼ TR. In the front chamber, the width between the two Ansang-stones facing each other is 22 TR and the longitudinal space depth is 12 TR, while the width between the two Flagstones facing each other is 22½ TR and Flagstone's depth is 12 TR. In the passageway, the width between the two Ansang-stones facing each other is 11½ TR and longitudinal space depth is 9 TR, while the width between the two Flagstones facing each other is 12 TR and Flagstone's depth is 7¾ TR. The distance from the center to the entrance line of the main chamber is 10½ TR. Therefore, the total longitudinal length of the Grotto is 43½ TR at the level of the Ansang-stones, and 44 TR at the level of the Flagstones.

추적관찰에 의한 일개 전문계 남자고등학생의 흡연 예측 인자 (Predictors of Current Smoking among Male Students in a Technical High School: A Prospective Study)

  • 김종연;박순우
    • Journal of Preventive Medicine and Public Health
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    • 제42권1호
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    • pp.59-66
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    • 2009
  • Objectives : This study was performed using a longitudinal approach to explore the predictors for current smoking among male high school students. Methods : Baseline data was collected in May 2004 through a self-administrated questionnaire completed by 607 male students in a technical high school in Daegu city, Korea. Subsequently, their smoking behaviors were followed one year after. Among the 544 followed participants, data for 439 non-smokers in the first year was used in longitudinal analysis. Current smokers were defined as those respondents who had smoked one or more cigarettes within the 30 days preceding the survey. Several potential predictors for smoking were investigated including smoking history(never, experimental, former smoker), sociodemographic factors, environmental factors, attitudes toward smoking, and behavioral factors. Logistic regression was used to predict smoking with SPSS ver. 12.0. Results : According to multiple logistic regression analysis, those students who were more likely to smoke after one year were former smokers(OR: 2.12, 95% CI=1.01-4.44), current drinkers(OR: 2.55, 95% CI=1.33-4.89), who had four or five smokers among five best friends(OR: 3.43. 95% CI=1.14-10.30). In addition, those who had smokers among family members besides parents or siblings(OR: 1.66, 95% CI=0.92-2.98), exhibited a high level of subjective stress(OR: 1.77, 95% CI=0.96-3.26), or had a very good relationship with friends(OR: 1.93, 95% CI=0.99-3.75) were also more likely to smoke albeit with marginal statistical significance(p<0.1). Conclusions : A smoking prevention program aimed at high school students may be more effective with due consideration of the predictors highlighted in this study. However, further studies with larger sample size and various target populations are necessary to find potential predictors not found in this study but suggested in other longitudinal studies.

학생들이 인식한 교사의 특성이 수학 학업성취도에 미치는 영향에 대한 종단연구: 중·고등학교 학생을 대상으로 (A Longitudinal Study on the Effect of Teacher Characteristics Perceived by Students on Mathematics Academic Achievement: Targeting Middle and High School Students)

  • 김용석
    • 한국수학교육학회지시리즈E:수학교육논문집
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    • 제35권1호
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    • pp.97-118
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    • 2021
  • 수학 학업성취도에 영향을 미치는 교사의 특성은 끊임없이 변화하면서 수학 학업성취도에 영향을 미치고 있기 때문에 성장을 예측·분석할 수 있는 종단연구가 필요하다. 본 연구는 서울교육종단연구(SELS)의 중학교 1학년(2013년)부터 고등학교 2학년(2017년)까지의 중·고등학교 학생자료를 사용하여 수학 학업성취도의 종단적 변화양상이 유사한 하위 그룹으로 분류하여 학생들이 인식한 교사의 특성(전문성, 기대감, 학업적 피드백)이 수학 학업성취의 종단적인 변화양상에 미치는 직접적인 영향과 영향력을 살펴보았다. 연구결과 수학 학업성취도가 상위인 1그룹(343명, 14.5%) 수학교사의 특성(전문성과, 기대감, 학업적 피드백)은 수학 학업성취도의 종단적인 변화에 직접적인 영향을 미치지 않았으며, 중위의 3그룹(745명, 32.2%)은 수학교사의 학업적 피드백, 하위 53%의 2그룹(1225명)은 수학교사의 기대감이 수학 학업성취도의 종단적인 변화에 직접적인 영향을 미치는 것으로 나타났다. 이것은 학생들의 특성과 성향에 따라서도 교사의 전문성과, 기대감, 학업적 피드백이 수학 학업성취도의 종단적인 변화에 미치는 직접적인 영향이 다르므로 교수·학습의 지원도 이러한 점을 반영해야함을 시사해준다.

Association of wheezing phenotypes with fractional exhaled nitric oxide in children

  • Shim, Jung Yeon
    • Clinical and Experimental Pediatrics
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    • 제57권5호
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    • pp.211-216
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    • 2014
  • Asthma comprises a heterogeneous group of disorders characterized by airway inflammation, airway obstruction, and airway hyperresponsiveness (AHR). Airway inflammation, which induces AHR and recurrence of asthma, is the main pathophysiology of asthma. The fractional exhaled nitric oxide (FeNO) level is a noninvasive, reproducible measurement of eosinophilic airway inflammation that is easy to perform in young children. As airway inflammation precedes asthma attacks and airway obstruction, elevated FeNO levels may be useful as predictive markers for risk of recurrence of asthma. This review discusses FeNO measurements among early-childhood wheezing phenotypes that have been identified in large-scale longitudinal studies. These wheezing phenotypes are classified into three to six categories based on the onset and persistence of wheezing from birth to later childhood. Each phenotype has characteristic findings for atopic sensitization, lung function, AHR, or FeNO. For example, in one birth cohort study, children with asthma and persistent wheezing at 7 years had higher FeNO levels at 4 years compared to children without wheezing, which suggested that FeNO could be a predictive marker for later development of asthma. Preschool-aged children with recurrent wheezing and stringent asthma predictive indices also had higher FeNO levels in the first 4 years of life compared to children with wheezing and loose indices or children with no wheeze, suggesting that FeNO measurements may provide an additional parameter for predicting persistent wheezing in preschool children. Additional large-scale longitudinal studies are required to establish cutoff levels for FeNO as a risk factor for persistent asthma.