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31 pages, 4467 KiB  
Article
The Impact of Residential Building Insulation Standards on Indoor Thermal Environments and Heat-Related Illness Risks During Heatwaves: A Case Study in Korea
by Hee Jung Ham, Sungsu Lee and Ho-Jeong Kim
Sustainability 2024, 16(22), 9831; https://doi.org/10.3390/su16229831 (registering DOI) - 11 Nov 2024
Abstract
This study investigates the impact of building insulation standards on indoor thermal environments and the risk of heat-related illnesses during heatwaves in South Korea. Indoor temperatures were measured in residential buildings located in Chuncheon and Gwangju during the 2022 heatwave, with outdoor temperature [...] Read more.
This study investigates the impact of building insulation standards on indoor thermal environments and the risk of heat-related illnesses during heatwaves in South Korea. Indoor temperatures were measured in residential buildings located in Chuncheon and Gwangju during the 2022 heatwave, with outdoor temperature data sourced from the Korea Meteorological Administration. Probability distribution fitting was used to estimate the likelihood of indoor temperatures exceeding the critical threshold of 27 °C. Additionally, a linear regression analysis was conducted to examine the relationship between the probability of exceeding the threshold and heat-related illness data from 2017 to 2023 provided by the Korea Disease Control and Prevention Agency. The findings reveal significant variations in indoor thermal conditions during heatwaves, influenced by factors such as building type, year of construction, and climate region, which affect the thermal insulation performance. Buildings with a lower thermal insulation performance were associated with higher indoor temperatures, increasing the likelihood of exceeding the critical threshold and contributing to a higher incidence of heat-related illnesses, particularly in provincial non-metropolitan areas. These results underscore the need for region-specific building insulation standards that address both winter energy efficiency and summer heatwave resilience. Enhancing thermal insulation in vulnerable regions could significantly reduce the risk of heat-related illnesses and improve public health resilience to extreme heat events. Full article
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14 pages, 2285 KiB  
Article
Comprehensive Study of Antibiotic Resistance in Enterococcus spp.: Comparison of Influents and Effluents of Wastewater Treatment Plants
by Ji-Hyun Park, Kyung-Seon Bae, Jihyun Kang, Eung-Roh Park and Jeong-Ki Yoon
Antibiotics 2024, 13(11), 1072; https://doi.org/10.3390/antibiotics13111072 - 11 Nov 2024
Abstract
Background/Objectives: The spread of antibiotic resistance, particularly through Enterococcus spp., in wastewater treatment plants (WWTPs) poses significant public health risks. Given that research on antibiotic-resistant enterococci and their antibiotic-resistance genes in aquatic environments is limited, we evaluated the role of Enterococcus spp. [...] Read more.
Background/Objectives: The spread of antibiotic resistance, particularly through Enterococcus spp., in wastewater treatment plants (WWTPs) poses significant public health risks. Given that research on antibiotic-resistant enterococci and their antibiotic-resistance genes in aquatic environments is limited, we evaluated the role of Enterococcus spp. in WWTPs by comparing the antibiotic resistance rates, gene prevalence, biofilm formation, and residual antibiotics in the influent and effluent using culture-based methods. Methods: In 2022, influent and effluent samples were collected from 11 WWTPs in South Korea. Overall, 804 Enterococcus strains were isolated, and their resistance to 16 antibiotics was assessed using the microdilution method. Results: High resistance to tetracycline, ciprofloxacin, kanamycin, and erythromycin was observed. However, no significant differences in the overall resistance rates and biofilm formation were observed between the influent and effluent. Rates of resistance to ampicillin, ciprofloxacin, and gentamicin, as well as the prevalence of the tetM and qnrS genes, increased in the effluent, whereas resistance rates to chloramphenicol, florfenicol, erythromycin, and tylosin tartrate, along with the prevalence of the optrA gene, decreased. E. faecium, E. hirae, and E. faecalis were the dominant species, with E. faecalis exhibiting the highest resistance. Conclusions: Our results suggest that WWTPs do not effectively reduce the rates of resistant Enterococcus spp., indicating the need for continuous monitoring and improvement of the treatment process to mitigate the environmental release of antibiotic-resistant bacteria. Full article
(This article belongs to the Special Issue The Spread of Antibiotic Resistance in Natural Environments)
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14 pages, 2111 KiB  
Article
Research on the Index Calculation Method for the Impact of Drought on Water Quality in the Nakdong River, Korea
by Bu Geon Jo, Jaeyeon Lim, Joo-Heon Lee and Young Do Kim
Hydrology 2024, 11(11), 190; https://doi.org/10.3390/hydrology11110190 - 10 Nov 2024
Viewed by 223
Abstract
The impact of drought is intensifying due to climate change, leading to significant environmental consequences, particularly concerning river water quality. While drought is typically classified as meteorological or hydrological, studies assessing its environmental impacts remain limited. Drought-induced hydrological alterations in rivers often degrade [...] Read more.
The impact of drought is intensifying due to climate change, leading to significant environmental consequences, particularly concerning river water quality. While drought is typically classified as meteorological or hydrological, studies assessing its environmental impacts remain limited. Drought-induced hydrological alterations in rivers often degrade water quality, necessitating the development of an environmental drought index. This study introduces a novel methodology for calculating an index to evaluate the effects of drought on river water quality, specifically applied to tributaries of the Nakdong River in South Korea. The index was constructed by reviewing existing water quality and drought indices, selecting relevant parameters, and weighting each factor following the National Sanitation Foundation Water Quality Index (NSFWQI) methodology. Factors integrated into the index encompass both meteorological and hydrological indicators, with priority given to variables measurable in real time. Real-time parameters—such as flow rate, cumulative precipitation, days without rainfall, and sensor-based metrics (pH, electrical conductivity [EC], dissolved oxygen [DO], and total organic carbon [TOC])—were incorporated. Additionally, for rivers with upstream dams, dam discharge data were included to reflect its influence on flow conditions. The applicability of the calculated index was assessed by comparing index values to observed water quality data. A class interval structure was implemented to enhance the index’s usability across diverse riverine conditions. Furthermore, the utility of the index was validated by comparing it to the basin’s target water quality, thereby assessing its sensitivity to drought-induced water quality deterioration. The environmental drought index proposed in this study enables the proactive and real-time monitoring of water quality under drought conditions. When applied to 10 tributaries of the Nakdong River, the index demonstrated a clear correlation between drought conditions and water quality deterioration. This index provides a practical tool for river management, facilitating early response strategies to mitigate water quality impacts associated with environmental drought. Full article
(This article belongs to the Section Hydrology–Climate Interactions)
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26 pages, 16930 KiB  
Article
A Forest Fire Prediction Model Based on Meteorological Factors and the Multi-Model Ensemble Method
by Seungcheol Choi, Minwoo Son, Changgyun Kim and Byungsik Kim
Forests 2024, 15(11), 1981; https://doi.org/10.3390/f15111981 - 9 Nov 2024
Viewed by 318
Abstract
More than half of South Korea’s land area is covered by forests, which significantly increases the potential for extensive damage in the event of a forest fire. The majority of forest fires in South Korea are caused by humans. Over the past decade, [...] Read more.
More than half of South Korea’s land area is covered by forests, which significantly increases the potential for extensive damage in the event of a forest fire. The majority of forest fires in South Korea are caused by humans. Over the past decade, more than half of these types of fires occurred during the spring season. Although human activities are the primary cause of forest fires, the fact that they are concentrated in the spring underscores the strong association between forest fires and meteorological factors. When meteorological conditions favor the occurrence of forest fires, certain triggering factors can lead to their ignition more easily. The purpose of this study is to analyze the meteorological factors influencing forest fires and to develop a machine learning-based prediction model for forest fire occurrence, focusing on meteorological data. The study focuses on four regions within Gangwon province in South Korea, which have experienced substantial damage from forest fires. To construct the model, historical meteorological data were collected, surrogate variables were calculated, and a variable selection process was applied to identify relevant meteorological factors. Five machine learning models were then used to predict forest fire occurrence and ensemble techniques were employed to enhance the model’s performance. The performance of the developed forest fire prediction model was evaluated using evaluation metrics. The results indicate that the ensemble model outperformed the individual models, with a higher F1-score and a notable reduction in false positives compared to the individual models. This suggests that the model developed in this study, when combined with meteorological forecast data, can potentially predict forest fire occurrence and provide insights into the expected severity of fires. This information could support decision-making for forest fire management, aiding in the development of more effective fire response plans. Full article
(This article belongs to the Special Issue Forest Fires Prediction and Detection—2nd Edition)
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19 pages, 2687 KiB  
Article
An Assessment of the Carbon Budget of the Passively Restored Willow Forests Along the Miho River, Central South Korea
by Bong-Soon Lim, Seung-Jin Joo, Ji-Eun Seok and Chang-Seok Lee
Climate 2024, 12(11), 182; https://doi.org/10.3390/cli12110182 - 8 Nov 2024
Viewed by 382
Abstract
Climate change is rapidly progressing as the carbon budget balance is broken due to excessive energy and land use. This study was conducted to find and quantify new carbon sinks to implement the carbon neutrality policy prepared by the international community to solve [...] Read more.
Climate change is rapidly progressing as the carbon budget balance is broken due to excessive energy and land use. This study was conducted to find and quantify new carbon sinks to implement the carbon neutrality policy prepared by the international community to solve these problems. To reach this goal, an allometric equation of the willow community, which dominates riparian vegetation, was developed and applied to calculate the net primary productivity of the willow community. Furthermore, after the amount of carbon emitted via soil respiration was quantified, the net ecosystem production was calculated by subtracting the amount of soil respiration from the net primary productivity. In comparisons of the results obtained via this process with those obtained from forest vegetation, the willow community, representative of riparian vegetation, showed a much higher carbon sequestration rate than forest vegetation. Considering these results comprehensively, the willow community could be a new and significant carbon absorption source. In this context, proper river restoration should be realized to contribute to carbon neutrality and secure various ecosystem service functions. Full article
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12 pages, 1565 KiB  
Article
Prevalence, Characteristics, and Distribution of Human Papillomavirus According to Age and HIV Status in Women of Eastern Cape Province, South Africa
by Zizipho Z. A. Mbulawa, Sinazo Kondlo, Sinalo Toni, Lindiwe M. Faye and Charles B. Businge
Viruses 2024, 16(11), 1751; https://doi.org/10.3390/v16111751 - 8 Nov 2024
Viewed by 331
Abstract
Human papillomavirus (HPV) is a sexually transmitted infection associated with the development of cervical cancer. This study investigated cervical HPV prevalence, characteristics, and distribution according to age and human immunodeficiency virus (HIV) status among women attending a public community health facility in the [...] Read more.
Human papillomavirus (HPV) is a sexually transmitted infection associated with the development of cervical cancer. This study investigated cervical HPV prevalence, characteristics, and distribution according to age and human immunodeficiency virus (HIV) status among women attending a public community health facility in the Eastern Cape Province of South Africa. A total of 325 participants (aged 18 to 60) visiting a community health facility for any reason were recruited. Cervical HPV infection was detected using the Seegene Anyplex™ II HPV28 assay (Seegene Inc., Seoul, South Korea). Overall HPV prevalence was 65.2% (95% CI: 59.9–70.2%), with the highest prevalence of 80.9% (95% CI: 67.2–89.8%) observed in the 18–25-year-old age group and the lowest prevalence of 46.3% (95% CI: 35.8–57.1%) in the 46–60-year-old age group. HR-HPV infection was found to decrease with increasing age (p < 0.001) in the overall population and according to HIV status. In contrast, LR-HPV infection was found to significantly decrease with age among HIV-negative women (p = 0.001) but not for the overall population and HIV-positive women. A proportion of 12.9% were infected with one or more HPV types covered by the Cervarix® HPV vaccine (HPV-16 and/or -18), 18.8% (by those covered by Gardasil®4 (HPV-6, -11, -16 and/or -18), and 42.2% by those covered by Gardasil®9 (HPV-6, -11, -16, -18, -31, -33, -45, -52 and/or -58). The alpha-9 HPV species was the most dominant species (40.6%), followed by the alpha-7 species (29.8%). High overall HPV, HR-HPV, and alpha-9 species prevalence were observed among the women attending the public health facility. These findings contribute to the limited HPV distribution data among the Eastern Cape women, which could be used to improve HPV-related policy and assess the effectiveness of the HPV vaccination. Full article
(This article belongs to the Section Human Virology and Viral Diseases)
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9 pages, 520 KiB  
Communication
Resurgence of Pertussis in the Gyeongnam Region of South Korea in 2023 and 2024
by Hyeokjin Lee, U Jin Cho, Ah-Ra Kim, Sang-Eun Lee, Myungju Lee, Seung Ju Lee, Yu Mi Wi, Sang Hyuk Ma and Dong Han Lee
Vaccines 2024, 12(11), 1261; https://doi.org/10.3390/vaccines12111261 - 8 Nov 2024
Viewed by 402
Abstract
Background/Objectives: Pertussis continues to pose a substantial global health challenge despite widespread vaccination programs. This study aimed to analyze the epidemiological characteristics of recent pertussis cases in the Gyeongnam region of South Korea. Methods: We analyzed 419 pertussis cases in the [...] Read more.
Background/Objectives: Pertussis continues to pose a substantial global health challenge despite widespread vaccination programs. This study aimed to analyze the epidemiological characteristics of recent pertussis cases in the Gyeongnam region of South Korea. Methods: We analyzed 419 pertussis cases in the Gyeongnam region of South Korea between October 2023 and April 2024, using data collected from epidemiological investigation reports, medical records, and interviews with health officials and school staff. Results: Our analysis revealed a distinct age distribution pattern with minimal cases in infants (0.2% under 1 year) and young children (7.9% in ages 1–6 years), while school-aged children showed the highest incidence (31.8% in ages 7–9 years, 36.0% in ages 10–12 years). The outbreak pattern demonstrated a progressive shift from preschool and elementary school students to middle and high school students. The time from symptoms onset to diagnosis varied significantly across age groups, with a median of 3.0 days (1.0–6.0) overall; notably, this was longer in high school students at 5.0 days (2.3–8.0) (p = 0.023). While 92.4% (365/395) of cases were fully vaccinated, substantial delays were observed in third and fourth dose administration (18.2% and 25.8%, respectively), with considerable timing variability for the fifth and sixth doses. Conclusions: Our findings highlight the changing epidemiology of pertussis in South Korea, characterized by an age shift toward older children. These results emphasize the need for enhanced surveillance focusing on school-aged populations and the reassessment of vaccination strategies, particularly regarding booster dose timings and adherence. Full article
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20 pages, 46339 KiB  
Article
A Comparative Study of the Design of East Asian Royal Gardens
by Yuehui Liang and Songfei He
Buildings 2024, 14(11), 3557; https://doi.org/10.3390/buildings14113557 - 7 Nov 2024
Viewed by 275
Abstract
The current research methods employed in the study of gardens are largely concentrated in the fields of landscape architecture, architecture, and ecology. However, there is a paucity of analytical methods dedicated to the domain of garden design. However, the design content of gardens [...] Read more.
The current research methods employed in the study of gardens are largely concentrated in the fields of landscape architecture, architecture, and ecology. However, there is a paucity of analytical methods dedicated to the domain of garden design. However, the design content of gardens is within the scope of design studies. It is therefore imperative to develop or refine research methods for the analysis of gardens that are firmly grounded in design principles. The primary contribution of this study is the development of a design analysis framework, centered on the interrelationships between ‘user–garden–environment’, which can be applied to the analysis and investigation of gardens from a ‘people, objects, and environment’ perspective, in alignment with design studies. Influenced by similar geography, environment, culture, customs, etc., the garden design of China, Japan, and South Korea presents a very East Asian design style of forms, elements, features, etc., but also formed the differences of each characteristic. This paper takes China’s Chengde Mountain Resort, Japan’s Shugakuin Imperial Villa, and South Korea’s Changdeokgung, which are listed on the World Heritage List, as examples Based on the design analysis method proposed in this paper, a relevant design comparative study is conducted in three aspects: users of East Asia’s royal gardens, the design object—the gardens—and the external environment, and the similarities and differences between the Chinese, Japanese, and Korean royal gardens are analyzed. This study aims to verify the feasibility of the analytical framework of ‘user–garden–environment’ design by analyzing typical cases of royal gardens in China, Japan, and South Korea. This will enable the creation of multiple values conducive to the development of gardens. Furthermore, the analytical framework of ‘user–garden–environment’ is subjected to a process of deconstruction through the case studies of typical royal gardens in the three East Asian countries. This is done to overcome the limitations of existing research methodologies, provide a novel systematic research methodology for garden research, and facilitate the protection and inheritance of the historical and cultural heritage of gardens in East Asia. Additionally, this approach offers a reference point for related garden research in the context of modern lifestyles. Full article
(This article belongs to the Section Architectural Design, Urban Science, and Real Estate)
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10 pages, 1597 KiB  
Article
Correlation Between Hyperlipidemia-Related Diseases and Thorax/Thigh Circumference Ratio Along with Body Condition Score in Dogs Focusing on Molecular Mechanism: A Pilot Study and Literature Review
by Kyuhyung Choi
Life 2024, 14(11), 1441; https://doi.org/10.3390/life14111441 - 7 Nov 2024
Viewed by 352
Abstract
There are some limitations to using the body condition score (BCS) for client education to prevent obesity, hyperlipidemia-related diseases, and orthopedic diseases in dogs because it is hard to quantify in detail. Especially in small dogs, patellar luxation is a common orthopedic disease [...] Read more.
There are some limitations to using the body condition score (BCS) for client education to prevent obesity, hyperlipidemia-related diseases, and orthopedic diseases in dogs because it is hard to quantify in detail. Especially in small dogs, patellar luxation is a common orthopedic disease that is related to obesity and the hind leg muscle. In this pilot study, the author evaluated the thorax/thigh circumference ratio as a prognostic evaluation index, along with the BCS, for assessing patellar dislocation and other hyperlipidemia-related diseases and states such as hypertriglyceridemia and obesity-related orthopedic disease in small dogs. Eleven client-owned dogs were selected randomly among patients that visited Bundang New York Animal Hospital, South Korea from June 2021 to August 2024. According to the results, triglycerides (TG) showed a negative correlation with thorax/thigh value (R = −0.585, p-value = 0.059) and a strong positive correlation with thigh circumference (R = 0.749, p-value = 0.008). Total cholesterol (TC) showed a strong positive correlation with thigh circumference (R = 0.776, p-value = 0.005), whereas the thorax/thigh value showed a negative correlation with the medial patella luxation (MPL) grade with low significance (R = −0.343, p-value = 0.302). These data indicate that thigh circumference can be an excellent negative indicator for hyperlipidemia and thorax/thigh value shows no correlation with medial patella luxation, which has many factors such as varus and trochlear groove. Despite the limitations of this study due to the small sample size, this pilot study is significant as it is the first trial to introduce a new indicator for monitoring hyperlipidemia at home by using a simple tape measure. Also, the author reviews molecular pathways including the ApoA-1, ApoE, and LPL genes, which are related to hyperlipidemia, to explain the results. Full article
(This article belongs to the Special Issue Veterinary Pathology and Veterinary Anatomy: 2nd Edition)
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17 pages, 2742 KiB  
Article
Elite Politics, Mass Discontent and Political Inequality in South Korea: Who Represents Me?
by Seungwoo Han
Soc. Sci. 2024, 13(11), 607; https://doi.org/10.3390/socsci13110607 - 7 Nov 2024
Viewed by 394
Abstract
In an era of heightened public skepticism toward political institutions, understanding the perceived divide between political elites and the general population has become increasingly essential. This study examines how Korean citizens perceive their political representatives, focusing on the socio-economic and demographic disparities between [...] Read more.
In an era of heightened public skepticism toward political institutions, understanding the perceived divide between political elites and the general population has become increasingly essential. This study examines how Korean citizens perceive their political representatives, focusing on the socio-economic and demographic disparities between political elites and the wider public. To achieve this, this study concentrates on three core elements: citizens’ perceptions of politicians, the social networks of elite politicians, and the socio-economic and demographic attributes of these elites in comparison to the general population. Employing a data-driven approach—including text analysis, clustering, social network analysis, and visualization techniques—this study investigates data on political elites alongside district-level data. The findings reveal significant socio-economic and demographic disparities between political elites and the public, with elites predominantly emerging from narrow backgrounds characterized by affluence, high education, and an overrepresentation of males above the age of 60. These results underscore the need for measures that promote transparency, accountability, and inclusivity within the political system, highlighting the importance of bridging the divide between political elites and the general public to cultivate a more representative and responsive political environment. Full article
(This article belongs to the Section Contemporary Politics and Society)
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16 pages, 1863 KiB  
Article
Growth and Yield Response of Soybean (Glycine max L.) in Relation to Sowing Date in the Southern Region of South Korea
by Jinhee Seo, Jaesung Park, Mansoo Choi, Kiyeol Jung, Hyenchung Chun, Sanghun Lee, Donghyeok Gong, Se Eun Chae, Seung Ho Jeon and Dong-Kyung Yoon
Agronomy 2024, 14(11), 2624; https://doi.org/10.3390/agronomy14112624 - 7 Nov 2024
Viewed by 279
Abstract
A double-cropping system is widely adopted in southern Korea, in which the sowing date of the second crop (soybean) can be delayed depending on the growth period of the first crop and weather conditions. Soybean yields may be reduced because of the shorter [...] Read more.
A double-cropping system is widely adopted in southern Korea, in which the sowing date of the second crop (soybean) can be delayed depending on the growth period of the first crop and weather conditions. Soybean yields may be reduced because of the shorter vegetative growth period and earlier flowering. This study examined soybean growth and yield responses as plant populations at a late planting date. A field experiment was conducted in the upland field at the Department of Southern Area Crop Science in Miryang, Gyeongsangnam-do, for two years (2022–2023) using four cultivars (Seonyu 2, Jungmo 3015, Seonpung, and Jangpung). A split-plot block design was used with three replications. The main plots had four sowing dates at 10-day intervals from 25 June to 25 July. The date of maturity was recorded, and the yield components and yield were examined after harvesting. The optimum planting population for maximizing the soybean yield with late planting was compared with the standard population result. To maintain pre- and post-crop yields and cultivate stable production, the sowing date limit for early maturing soybeans was July 15 and that for mid-maturing soybeans was July 5. The results highlight the potential to produce an economic soybean production level. Full article
(This article belongs to the Section Innovative Cropping Systems)
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17 pages, 548 KiB  
Article
Exploring the Psychological Mechanism of How the Multidimensional Service Quality of Fitness Centers Affects Consumer Satisfaction and Loyalty Depending on the Level of Exercise Involvement
by Manmin Kim and Daehwan Kim
Behav. Sci. 2024, 14(11), 1049; https://doi.org/10.3390/bs14111049 - 6 Nov 2024
Viewed by 343
Abstract
This study aimed to examine the influence of core services and the physical servicescape and social servicescape on consumer satisfaction and loyalty via perceived price fairness, flow experience, and rapport in fitness centers. Additionally, the present study explored how exercise involvement moderates the [...] Read more.
This study aimed to examine the influence of core services and the physical servicescape and social servicescape on consumer satisfaction and loyalty via perceived price fairness, flow experience, and rapport in fitness centers. Additionally, the present study explored how exercise involvement moderates the relationship between perceived price fairness, flow experience, rapport, and consumer satisfaction. For these purposes, targeting adults using fitness centers in South Korea, a total of 763 participants were sampled based on a cross-sectional design and used for data analyses involving confirmatory factor analysis for measurement validation and latent moderated structural equation modeling for hypothesis testing. The results showed that the core services, physical servicescape, and social servicescape enhance perceived price fairness, flow experiences, and rapport between staff and consumers, respectively. The study findings also indicated that exercise involvement significantly moderates the effect of price fairness and flow experience on satisfaction but not rapport. These insights offer practical and theoretical implications for fitness center management, emphasizing the importance of tailored service strategies in retaining loyal customers. Full article
(This article belongs to the Special Issue Behavioral and Psychosocial Dynamics of Sports and Exercise)
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16 pages, 2545 KiB  
Article
Barefoot Walking (Earthing) Craze and Policy Support Among Community-Dwelling Older Adults in South Korea: A Grounded Theory Analysis
by So-Yoon Lee and Won-Chul Bing
Sustainability 2024, 16(22), 9637; https://doi.org/10.3390/su16229637 - 5 Nov 2024
Viewed by 446
Abstract
Barefoot walking is currently a craze in South Korean communities. In particular, the elderly are participating in barefoot walking (earthing) to improve their physical and mental health due to their increasing desire for a healthy life. The purpose of this study was to [...] Read more.
Barefoot walking is currently a craze in South Korean communities. In particular, the elderly are participating in barefoot walking (earthing) to improve their physical and mental health due to their increasing desire for a healthy life. The purpose of this study was to analyze causes, processes, and consequences of the barefoot walking craze among the elderly in Korean society. The research method used was the grounded theory method. Thirty-five elderly people participating in barefoot walking were selected as participants. Data were analyzed according to open coding, axial coding, and selective coding proposed by Strauss and Corbin. First, an open coding phase yielded 61 concepts, 18 subcategories, and 7 categories through continuous questioning and comparative analysis. Second, in the axial coding stage, causal, contextual, and mediating conditions, action/interaction strategies, and consequences were presented, centering on the phenomenon. Causal conditions and contextual conditions contributing to the phenomenon of barefoot walking were identified as “motivation to participate” and “barefoot walking environment”, respectively. “Participating in barefoot walking” was identified as a phenomenon in the axial coding paradigm. The intervening condition was analyzed as “information about barefoot walking”. The action/interaction strategy was analyzed as “spreading the value of barefoot walking”. In the axial coding paradigm, consequences that emerged through the action/interaction strategy were “restoring physical and mental health” and “community spread and nuisance”. Third, in the selective coding stage, “barefoot walking as a daily routine” was derived as the core category, and the narrative outline was presented. To create a sustainable barefoot walking environment in Korea, it is necessary to have a healthy civic consciousness that coexists and harmonizes with nature. Full article
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10 pages, 1333 KiB  
Article
Assessing the 9G Technology Blood Test for Predicting Lung Cancer in Patients with CT-Detected Lung Nodules: A Multicenter Clinical Trial
by So Yeon Kim, Young Sik Park, In Ae Kim, Hee Joung Kim and Kye Young Lee
Cancers 2024, 16(22), 3737; https://doi.org/10.3390/cancers16223737 - 5 Nov 2024
Viewed by 405
Abstract
Background and Objectives: Lung nodules detected by chest computed tomography (CT) often require invasive biopsies for definitive diagnosis, leading to unnecessary procedures for benign lesions. A blood-based biomarker test that predicts lung cancer risk in CT-detected nodules could help stratify patients and [...] Read more.
Background and Objectives: Lung nodules detected by chest computed tomography (CT) often require invasive biopsies for definitive diagnosis, leading to unnecessary procedures for benign lesions. A blood-based biomarker test that predicts lung cancer risk in CT-detected nodules could help stratify patients and direct invasive diagnostics toward high-risk individuals. Methods: In this multicenter, single-blinded clinical trial, we evaluated a test measuring plasma levels of p53, anti-p53 autoantibodies, CYFRA 21-1, and anti-CYFRA 21-1 autoantibodies in patients with CT-detected lung nodules. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated, and subgroup analyses by gender, age, and smoking status were performed. A total of 1132 patients who had CT-detected lung nodules, including 885 lung cancer cases and 247 benign lesions, were enrolled from two academic hospitals in South Korea. Results: The test demonstrated a sensitivity of 78.4% (95% CI: 75.7–81.1) and specificity of 93.1% (95% CI: 90.0–96.3) in predicting lung cancer in CT-detected nodules. The PPV was 97.6%, and the NPV was 54.6%. Performance was consistent across gender (sensitivity 79.3% in men and 76.8% in women) and age groups, with a specificity of 93.4% in men and 92.7% in women. Stage I lung cancer was detected with a sensitivity of 80.6%. Conclusions: The Lung Cancer test based on 9G technology presented here offers a non-invasive method for stratifying lung cancer risk in patients with CT-detected nodules. Its integration into clinical practice could reduce unnecessary interventions and foster earlier detection. Full article
(This article belongs to the Section Clinical Research of Cancer)
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23 pages, 575 KiB  
Article
Determinants of Generative AI System Adoption and Usage Behavior in Korean Companies: Applying the UTAUT Model
by Youngsoo Kim, Victor Blazquez and Taeyeon Oh
Behav. Sci. 2024, 14(11), 1035; https://doi.org/10.3390/bs14111035 - 4 Nov 2024
Viewed by 678
Abstract
This study addresses the academic gap in the adoption of generative AI systems by investigating the factors influencing technology acceptance and usage behavior in Korean firms. Although recent advancements in AI are accelerating digital transformation and innovation, empirical research on the adoption of [...] Read more.
This study addresses the academic gap in the adoption of generative AI systems by investigating the factors influencing technology acceptance and usage behavior in Korean firms. Although recent advancements in AI are accelerating digital transformation and innovation, empirical research on the adoption of these systems remains scarce. To fill this gap, this study applies the Unified Theory of Acceptance and Use of Technology (UTAUT) model, surveying 300 employees from both large and small enterprises in South Korea. The findings reveal that effort expectancy and social influence significantly influence employees’ behavioral intention to use generative AI systems. Specifically, effort expectancy plays a critical role in the early stages of adoption, while social influence, including support from supervisors and peers, strongly drives the adoption process. In contrast, performance expectancy and facilitating conditions show no significant impact. The study also highlights the differential effects of age and work experience on behavioral intention and usage behavior. For older employees, social support is a key factor in technology acceptance, whereas employees with more experience exhibit a more positive attitude toward adopting new technologies. Conversely, facilitating conditions are more critical for younger employees. This study contributes to the understanding of the interaction between various factors in AI technology adoption and offers strategic insights for the successful implementation of AI systems in Korean companies. Full article
(This article belongs to the Special Issue Employee Behavior on Digital-AI Transformation)
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