• Asian Pacific Journal of Cancer Prevention
• /
• 제14권12호
• /
• pp.7577-7581
• /
• 2013

The interleukin-18 promoter -607C>A gene polymorphism may be related to nasopharyngeal carcinoma (NPC) risk but the results of individual studies remain conflicting. A meta-analysis including 1,886 subjects from five individual studies was therefore performed to provide a more accurate estimation. Pooled odds ratios (ORs) and their corresponding 95% confidence intervals (95% CIs) were evaluated by fixed- or random-effects models. A significant relationship between interleukin-18 promoter -607C>A gene polymorphism and NPC was found in a dominant genetic model (OR: 1.351, 95% CI: 1.089-1.676, P=0.006, $P_{heterogeneity}$=0.904), a homozygote model (OR: 1.338, 95% CI: 1.023-1.751, P=0.034, $P_{heterogeneity}$=0.863), and a heterozygote model (OR: 1.357, 95% CI: 1.080-1.704, P=0.009, $P_{heterogeneity}$=0.824). No significant association was detected in either an allelic genetic model (OR: 1.077, 95% CI: 0.960-1.207, 0.207, $P_{heterogeneity}$=0.844) or a recessive genetic model (OR: 1.093, 95% CI: 0.878-1.361, P=0.425, $P_{heterogeneity}$=0.707). In conclusion, a significant association was found between interleukin-18 promoter -607C>A gene polymorphism and NPC risk. Individuals with the C allele of interleukin-18 promoter -607C>A gene polymorphism have a higher risk of NPC development.

• 대한간호학회지
• /
• 제50권4호
• /
• pp.621-630
• /
• 2020

Purpose: This study was aimed to evaluate the external validity of a carbapenem-resistant Enterobacteriaceae (CRE) acquisition risk prediction model (the CREP-model) in a medium-sized hospital. Methods: This retrospective cohort study included 613 patients (CRE group: 69, no-CRE group: 544) admitted to the intensive care units of a 453-beds secondary referral general hospital from March 1, 2017 to September 30, 2019 in South Korea. The performance of the CREP-model was analyzed with calibration, discrimination, and clinical usefulness. Results: The results showed that those higher in age had lower presence of multidrug resistant organisms (MDROs), cephalosporin use ≥ 15 days, Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥ 21 points, and lower CRE acquisition rates than those of CREP-model development subjects. The calibration-in-the-large was 0.12 (95% CI: - 0.16~0.39), while the calibration slope was 0.87 (95% CI: 0.63~1.12), and the concordance statistic was .71 (95% CI: .63~.78). At the predicted risk of .10, the sensitivity, specificity, and correct classification rates were 43.5%, 84.2%, and 79.6%, respectively. The net true positive according to the CREP-model were 3 per 100 subjects. After adjusting the predictors' cutting points, the concordance statistic increased to .84 (95% CI: .79~.89), and the sensitivity and net true positive was improved to 75.4%. and 6 per 100 subjects, respectively. Conclusion: The CREP-model's discrimination and clinical usefulness are low in a medium sized general hospital but are improved after adjusting for the predictors. Therefore, we suggest that institutions should only use the CREP-model after assessing the distribution of the predictors and adjusting their cutting points.

• 대한음성학회지:말소리
• /
• 제68권
• /
• pp.33-47
• /
• 2008

In this paper, we propose a hybrid acoustic and pronunciation model adaptation method based on context dependency for Korean-English speech recognition. The proposed method is performed as follows. First, in order to derive pronunciation variant rules, an n-best phoneme sequence is obtained by phone recognition. Second, we decompose each rule into a context independent (CI) or a context dependent (CD) one. To this end, it is assumed that a different phoneme structure between Korean and English makes CI pronunciation variabilities while coarticulation effects are related to CD pronunciation variabilities. Finally, we perform an acoustic model adaptation and a pronunciation model adaptation for CI and CD pronunciation variabilities, respectively. It is shown from the Korean-English speech recognition experiments that the average word error rate (WER) is decreased by 36.0% when compared to the baseline that does not include any adaptation. In addition, the proposed method has a lower average WER than either the acoustic model adaptation or the pronunciation model adaptation.

• 한국환경보건학회지
• /
• 제35권1호
• /
• pp.1-10
• /
• 2009

This study assessed the relationships between levels of $PM_{10}$ and hospitalization rates for asthma among children from 2003 to 2005 at four major cities in Korea. In addition, we estimated the reduced number of asthma hospitalization associated with an ambient $PM_{10}$ improvement to the acceptable levels as recommended by the World Health Organization (WHO). The Generalized Additive Model (GAM) was used to estimate the relative risks (RR) of asthma hospitalization associated with changes in $PM_{10}$ The RRs of children's asthma hospitalization for every $10{\mu}g/m^3$ increment in $PM_{10}$ were 1.009(95% CI = 1.004-1.014) in Seoul, 1.013(95% CI = 1.006-1.021) in Incheon, 1.009(95% CI = 1.002-1.016) in Busan, and 1.021(95% CI = 1.005-1.037) in Ulsan. We assessed $PM_{10}$ related health benefits from implementing the WHO's guidelines (24-hour average $50{\mu}g/m^3$) using the U.S. Environmental Protection Agency's Environmental Benefits Mapping and Analysis Program. The estimated benefits were 439(95% CI = 216-666) reduced asthma hospitalization in Seoul, 720(95% CI = 304-1,151) in Incheon, 260(95% CI = 66-459) in Busan, and 126(95% CI = 30-228) in Ulsan. It was concluded that improving $PM_{10}$ condition to the WHO guideline would make a significant contribution to the reduction in asthma hospitalization among children. Therefore, public health measures are still needed to improve air quality in Korea.

• Journal of Sleep Medicine
• /
• 제15권2호
• /
• pp.48-54
• /
• 2018

Objectives: The aim of this study was to develop a predicting model for the optimal continuous positive airway pressure (CPAP) for obstructive sleep apnea (OSA) patient with obesity by using a machine learning. Methods: We retrospectively investigated the medical records of 162 OSA patients who had obesity [body mass index (BMI) ≥ 25] and undertaken successful CPAP titration study. We divided the data to a training set (90%) and a test set (10%), randomly. We made a random forest model and a least absolute shrinkage and selection operator (lasso) regression model to predict the optimal pressure by using the training set, and then applied our models and previous reported equations to the test set. To compare the fitness of each models, we used a correlation coefficient (CC) and a mean absolute error (MAE). Results: The random forest model showed the best performance {CC 0.78 [95% confidence interval (CI) 0.43-0.93], MAE 1.20}. The lasso regression model also showed the improved result [CC 0.78 (95% CI 0.42-0.93), MAE 1.26] compared to the Hoffstein equation [CC 0.68 (95% CI 0.23-0.89), MAE 1.34] and the Choi's equation [CC 0.72 (95% CI 0.30-0.90), MAE 1.40]. Conclusions: Our random forest model and lasso model ($26.213+0.084{\times}BMI+0.004{\times}$apnea-hypopnea index+$0.004{\times}oxygen$ desaturation index-$0.215{\times}mean$ oxygen saturation) showed the improved performance compared to the previous reported equations. The further study for other subgroup or phenotype of OSA is required.

• 한국수산과학회지
• /
• 제42권6호
• /
• pp.642-649
• /
• 2009

Line transect data from sighting surveys conducted in the East Sea, Korea in 2000, 2002, 2003, 2005 and 2006 were analysed to estimate densities and numbers of minke whale. The half-normal model was fit to the survey in 2000 and the uniform model was the most fitable to the survey in 2002 and 2006, and the surveys in 2003 and 2005 were fit by the hazard-rate model. The estimated density of minke whale in the survey in 2000 was estimated as 0.026 individuals/$km^2$ (CV=0.409; 95% CI 0.011-0.065) and was higher than the survey in 2002 estimated as 0.018 individuals/$km^2$ (CV=0.329; 95% CI: 0.009-0.034). The estimated density of minke whale in the survey in 2003 was estimated as 0.033 individuals/$km^2$ (95% CI: 0.008-0.139) with the highest CV 0.760. The highest density was estimated in the survey in 2005 with 0.053 individuals/$km^2$ (95% CI: 0.020-0.141). The Lowest CV (0.306) was estimated in the survey in 2006 with 0.025 individuals/$km^2$ (95% CI: 0.014-0.046). A total of 500 bootstrap samples were generated within each stratum. Density, CV and 95% CI of each surveys were increased than analytic results except the survey in 2003. There were no increasing or decreasing annual trends in the density of minke whales observed during the study period. A long-term monitor and survey is needed to assess project minke whale abundance in the East Sea.

• 전자공학회논문지
• /
• 제50권9호
• /
• pp.77-84
• /
• 2013

빠르게 일어나는 기술의 발전과 그 안에 내재된 문화적 현상을 결합하려는 시도를 문화 컴퓨팅, 문화 모델링이라 한다. 본 논문에서는 문화 모델링 연구 추세를 기반으로 문화 사용자 인터페이스 디자인, 특히 그 중에서도 콘텐츠를 중심으로 한 문화 기반 디자인 구조를 설명한다. 문화에 기반한 콘텐츠를 디자인하기 위해서는 콘텐츠의 문화적 특성을 도출하는 구조가 필요하다. 이를 위해 Hofstede의 문화 차원 모델과 콘텐츠 데이터를 결합하여, 콘텐츠 중심의 문화 차원 지수(CiCo) 구조를 새롭게 제안한다. 또한 도출한 CiCo와 국가별 콘텐츠 선호 패턴을 결합하여 국가별 콘텐츠 문화 차원 지수인 NiCC를 도출한다. 제안하는 CiCo와 NiCC는 기존의 Hofstede 모델에 기반하였으되, 기존 모델 대비 약 10% 개선된 설명력을 갖는다.

• 응용통계연구
• /
• 제21권5호
• /
• pp.783-789
• /
• 2008

We investigate the effects of the misspecification of cointegrating(CI) ranks at other frequencies on the inference of seasonal models at the frequency of interest; our study includes tests for CI ranks and estimation of CI vectors. Earlier studies focused mostly on a single frequency corresponding to one seasonal root at a time, ignoring possible cointegration at the remaining frequencies. We investigate the effects of the mis-specification, especially in finite samples, by adopting Gaussian reduced rank(GRR) estimation by Ahn and Reinsel (1994) that considers cointegration at all frequencies of seasonal unit roots simultaneously. It is observed that the identification of the seasonal CI rank at the frequency of interest is sensitive to the mis-prespecification of the CI ranks at other frequencies, mainly when the CI ranks at the remaining frequencies are underspecified.

• Asian Pacific Journal of Cancer Prevention
• /
• 제13권1호
• /
• pp.111-115
• /
• 2012

Variants of X-ray repair cross-complementing group 1 (XRCC1) are involved in the development of cancer, but studies investigating the association of XRCC1-77T>C polymorphism with cancer risk have reported conflicting results. To clarify the effect of the XRCC1 -77T>C polymorphism on cancer risk, we performed a meta-analysis by conducting searches of the published literature in PubMed, Embase and CBM databases. Finally, 13 studies were included into our meta-analysis, involving a total of 11, 678 individuals. Subgroup analyses were performed by ethnicity and cancer type. The results of this meta-analysis showed that there was significant association between the C variant of XRCC1-77T>C polymorphism and cancer risk in all four genetic comparison models (ORC vs. T =1.19, 95%CI 1.07-1.31, P = 0.001; OR homozygote model =1.28, 95%CI 1.07-1.52, P = 0.007; OR recessive genetic model =1.22, 95%CI 1.04-1.44, P = 0.015; OR dominant model =1.21, 95% CI 1.07-1.35, P = 0.001). In the subgroup analyses based on ethnicity, the association was still significant in the Asian population (all p values<0.001), but not in the Caucasian population (all p values > 0.05). Thus, the XRCC1 -77T>C polymorphism is associated with cancer risk, and individuals with XRCC1 -77C variant have a significantly higher cancer risk, particularly in the Asian population.

• 한국치위생학회지
• /
• 제15권4호
• /
• pp.649-659
• /
• 2015

Objectives: The purpose of the study is to investigate the musculo-skeletal pain prevalence and severity in the dental hygienists based on PRECEDE model. Methods: A self-reported questionnaire was completed by 483 dental hygienists in Gwangju from September 13 to October 12, 2013. Data were analyzed by frequency analysis, chi-square test, t-test, and multiple logistic regression analysis using SPSS 18.0 program. Musculo-skeletal pain severity was classified from 1 to 5 by PRECEDE model. The questionnaire consisted of six questions of the general characteristics of the subjects, one question of musculo-skeletal pain prevalence, one question of body part musculo-skeletal pain prevalence, one question of subjective health status, three questions of activities of daily living, six questions of working environment, one question of musculoskeletal system diseases knowledge, two questions of social support, two questions of education experience and data use method, and five questions of necessity of health education. Results: The prevalence rate of musculo-skeletal pain within a year was 83.9% and 22.8% of the dental hygienists complained of severe pain. The odds ratio of moderate pain severity was 1.99(95% CI, 1.10-3.60) and the odds ratio of unhealthiness was 3.27 (95% CI, 1.35-7.94). The odds ratio of pain severity in those working for 4-6 years was 0.21(95% CI, 0.08-0.57). The odds ratio of pain severity in those practicing 6-10 scaling cases per day was 0.33(95% CI, 0.17-0.65). The odds ratio of pain severity in wrist turning and bending was 3.56(95% CI, 1.19-10.62). Conclusions: The muscolu-skeletal pain severity in the dental hygienists was closely associated with subjective health condition, work duration, the number of scaling practice activity, and a treatment posture. Regular physical checkup for the dental hygienists will improve the musculo-skeletal pain due to scaling practice.