• Title/Summary/Keyword: CI-Model

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Risk factors of type 2 diabetes among Korean adults: The 2001 Korean national health and nutrition examination survey

  • Chung, Hae-Rang;Perez-Escamilla, Rafael
    • Nutrition Research and Practice
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    • v.3 no.4
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    • pp.286-294
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    • 2009
  • This study aimed to identify risk factors for type 2 diabetes (T2D) in Korea, a rapidly changing country. Data of 5,132 adults aged 20-85 were used from the 2001 Korean Health and Nutrition Examination Survey. Multiple logistic regression was carried out to identify risk factors for T2D. Three models were specified: (i) socioeconomic and demographic factors (model 1: age, gender, education, poverty income ratio, employment), (ii) behavioral risk factors and covariates (model 2: obesity, physical activity, smoking, alcohol drinking, dietary quality, family history of T2D, co-morbidity) and (iii) socioeconomic, demographic, and behavioral factors (model 3). The prevalence of T2D was 7.4%. Less education (OR 1.41, 95% CI 1.08-1.84), age (OR 2.19, 95% CI 1.56-3.08 in 40-59 yrs, OR 4.05, 95% CI 2.76-5.95 in 60 yrs + comparing to 20-39 yrs) and abdominal obesity (OR 2.24, 95% CI 1.79-2.82) were risk factors for T2D even after controlling for other factors simultaneously. There was a significant association of T2D with ever smoking (OR 1.34, 95% CI 1.06-1.67). The relationship of age with T2D was modified by gender in model 1 and the relationship of smoking with T2D was modified by obesity in model 2. Less educated, older, obese or ever smokers were more likely to have T2D. Gender mediated the relationship of age, and obesity mediated the relationship of smoking, with T2D. Intervention programs for T2D in Korea should take the interactions among risk factors into account.

The Interleukin-18 Promoter -607C>A Polymorphism Contributes to Nasopharyngeal Carcinoma Risk: Evidence from a Meta-analysis Including 1,886 Subjects

  • Guo, Xu-Guang;Xia, Yong
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7577-7581
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    • 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.

External Validation of Carbapenem-Resistant Enterobacteriaceae Acquisition Risk Prediction Model in a Medium Sized Hospital (중규모 종합병원 대상 카바페넴 내성 장내세균속균종(Carbapenem-resistant Enterobacteriaceae) 획득위험 예측모형의 외적타당도 평가)

  • Seo, Su Min;Jeong, Ihn Sook
    • Journal of Korean Academy of Nursing
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    • v.50 no.4
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    • pp.621-630
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    • 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.

Acoustic and Pronunciation Model Adaptation Based on Context dependency for Korean-English Speech Recognition (한국인의 영어 인식을 위한 문맥 종속성 기반 음향모델/발음모델 적응)

  • Oh, Yoo-Rhee;Kim, Hong-Kook;Lee, Yeon-Woo;Lee, Seong-Ro
    • MALSORI
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    • v.68
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    • pp.33-47
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    • 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.

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Acute Effects of PM10 on Asthma Hospitalization Among Children and Benefit Analysis at Four Major Cities in Korea (PM10이 소아천식 입원에 미치는 급성 영향 및 건강편익 평가 -서울, 인천, 부산, 울산 4개 도시를 중심으로-)

  • Bae, Hyun-Joo;Kim, Myung-Hyun;Lee, Ae-Kyung;Park, Jeong-Im
    • Journal of Environmental Health Sciences
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    • v.35 no.1
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    • pp.1-10
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    • 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.

Predictive Model of Optimal Continuous Positive Airway Pressure for Obstructive Sleep Apnea Patients with Obesity by Using Machine Learning (비만 폐쇄수면무호흡 환자에서 기계학습을 통한 적정양압 예측모형)

  • Kim, Seung Soo;Yang, Kwang Ik
    • Journal of Sleep Medicine
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    • v.15 no.2
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    • pp.48-54
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    • 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.

Abundance Estimates of the Minke Whale, Balaenoptera acutorostrata, in the East Sea, Korea (한국 동해 밍크고래 Balaenoptera acutorostrata의 자원개체수 추정)

  • Park, Kyum-Joon;An, Yong-Rock;Kim, Zang-Geun;Choi, Seok-Gwan;Moon, Dae-Yeon;Park, Ji-Eun
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.42 no.6
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    • pp.642-649
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    • 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.

The Study of an Extended Cultural Dimensions Index based on the Content (콘텐츠 중심의 확장형 문화 차원 지수 연구)

  • Oh, Jung-Min;Moon, Nammee
    • Journal of the Institute of Electronics and Information Engineers
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    • v.50 no.9
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    • pp.77-84
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    • 2013
  • There are lots of tries to make a combination between the technology development which is fast arisen and cultural phenomenon which imply in it. We called this research area as the cultural computing or cultural modeling. In this paper, we examine the cultural user interface design, especially cultural design structure based on the contents considering the research trend of the cultural modeling. To design of the contents based on the culture, there is a need to draw a structure of the cultural feature for the contents. To do this, we combine Hofstede's cultural dimensions model with the data of contents and then we suggest cultural index of content(CiCo). Furthermore, we draw national index of cultural content(NiCC), through conjoining CiCo with preference pattern of content consumption for the nations. Suggested CiCo and NiCC are based on Hofstede's model, however they are improved approximately 10% of the explanatory of model than the Hofstede's.

Effects of the Misspecification of Cointegrating Ranks in Seasonal Models

  • Seong, Byeong-Chan;Cho, Sin-Sup;Ahn, Sung-K.;Hwang, S.Y.
    • The Korean Journal of Applied Statistics
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    • v.21 no.5
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    • pp.783-789
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    • 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.

XRCC1-77T>C Polymorphism and Cancer Risk: A Meta-analysis

  • Wang, Yong-Gang;Zheng, Tian-Ying
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.1
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    • pp.111-115
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    • 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.