• 제목/요약/키워드: Case control study

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Risk factors for persistent otitis media with effusion in children: a case-control study

  • Lee, Ju Yeon;Kim, Se-Hyung;Song, Chan Il;Kim, Young Ree;Kim, Yoon-Joo;Choi, Jae Hong
    • Journal of Yeungnam Medical Science
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    • 제35권1호
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    • pp.70-75
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    • 2018
  • Background: Otitis media with effusion (OME) is defined as middle ear effusion without acute signs of infection. OME usually resolves spontaneously; however, persistent OME may require the insertion of a ventilation tube. This study investigated risk factors for persistent OME in children who undergo ventilation tube insertion. Methods: Children who were admitted to undergo ventilation tube insertion at Jeju National University Hospital between August 2015 and July 2016 were enrolled as the case group. Healthy children without persistent OME from August 2016 to July 2017 were enrolled as the control group. Baseline characteristics and predisposing factor data were collected using an interview questionnaire. Middle ear fluids were collected from the case group. Results: A total of 31 patients underwent ventilation tube insertion. The mean age of the case group was 4.53 years, with a male-to-female ratio of 21:10. Twenty-nine (93.5%) children attended a daycare center, and 21 (67.7%) had experience with bottle feeding. Fifteen (48.4%) children in the case group and 3 (9.7%) in the control group first attended a daycare center at <1 year of age (odds ratio=9.96; 95% confidence interval=2.44-39.70; p=0.001). No bacteria were found in middle ear fluid collected from the 31 operated children. Nasopharyngeal bacterial colonization was found in 13 (41.9%) and 17 (54.8%) children in the case and control groups, respectively. Conclusion: Earlier attendance at a daycare center was the only predisposing factor for ventilation tube insertion in our study. The aseptic nature of middle ear fluids found in children with OME highlights the efficacy of antimicrobial use.

장기사용 발전소 제어시스템의 예비모듈 수 결정 사례 (A Case Study on Determining the Number of Spare Modules in Power Plant Control System Used for Long Term)

  • 정창기;신윤오;박정원;함중걸
    • 품질경영학회지
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    • 제28권1호
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    • pp.210-219
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    • 2000
  • When an electronic control system has been used for long time, the electronic control system becomes obsolete and no longer In production. In this case, the existing control system should replace by new system due to shortage of spare modules. However, if the proper number of spare modules are stocked, it may be possible and more economical than to replace by new system to extend the usage period of the existing control system. In this case, it is an important problem to determine the proper number of spare modules. In this paper, a method to determine the proper number of spare modules is presented with an application example.

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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 대청룡탕(大靑龍湯) 투여 후 호전된 충동 조절 장애 1례 (A Case Report of Impulse Control Disorder treated by Daecheongryong-tang based on Shanghanlun Provisions)

  • 두인선;이성준
    • 대한상한금궤의학회지
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    • 제10권1호
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    • pp.57-67
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    • 2018
  • Objective : This case report presents the effect of Daecheongryong-tang on Impulse Control Disorder. The patient was diagnosed with Taeyang-byung based on Shanghanlun provisions. Methods : According to Shanghanlun six meridian patterns diagnostic system, we diagnosed the patient as Taeyang-byung and she has been suffering from impulse control disorder. The patient was treated with Daecheongryong-tang. And it was provided for 60 days.The changing symptom was estimated by Global Assessment of Functioning and Visual Analogue Scale. Results : After the treatment, the patient's functioning got better from 65 to 85 on GAF. And the degree of pain was reduced from 10 to 2 on VAS. Conclusions :This case study shows an effectiveness of using Daecheongryong-tang according to Diagnostic system based on Shanghanlun provisions on Impulse Control Disorder.

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위암 발생의 식이 및 관련요인에 대한 환자군-대조군 연구 (A Case -Control Study on Dietary and Other Factors Related to Stomach Cancer Incidence)

  • 염필영
    • Journal of Nutrition and Health
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    • 제31권1호
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    • pp.62-71
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    • 1998
  • As stomach cancer is very prevalent in Koreans, various factors, especially dietary factors, related to stomach cancer incidence were examined in a case-control study. The study population consisted of 105 individual s diagnosed for stomach cancer in two general hospitals and 124 control subjects, matched for age and sex, in Seoul. Data for general characteristics, family history, smoking and alcohol consumption, personality , dietary habits and food preference were obtained by self-administered questionnaire and personal interview. Heredity was found to be one of the most important factors causing stomach cancer. In addition, genetic inheritance tended to differ between the sexes. The male patients showed significantly higher incidence of their father's relatives than mother's relatives but the female patients showed higher incidence of their mother's relatives that father's relatives. Smoking was significantly related to stomach cancer. It was also found that the cases drank alcohol more frequently and in much greater quantity than the controls. Personality was related to the incidence of stomach cancer. The cases tended to be more sensitive , impatient, and anxious to do things quickly. With regards to dietary habits, the male cases had meals significantly more irregularly than the male controls. The relative risk of preferencefor salty food and ramen showed to be significantly very high. The male cases consumed carbonated beverages and instant foods, low intake of green yellow vegetables, smoking of cigarettes and drinking of alcohol may contribute to the risk of stomach cancer.

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A Study on the Impact Analysis of Security Flaws between Security Controls: An Empirical Analysis of K-ISMS using Case-Control Study

  • Kim, Hwankuk;Lee, Kyungho;Lim, Jongin
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제11권9호
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    • pp.4588-4608
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    • 2017
  • The measurement of information security levels is a very important but difficult task. So far, various measurement methods have studied the development of new indices. Note, however, that researches have focused on the problem of attaining a certain level but largely neglecting research focused on the issue of how different types of possible flaws in security controls affect each other and which flaws are more critical because of these effects. Furthermore, applying the same weight across the board to these flaws has made it difficult to identify the relative importance. In this paper, the interrelationships among security flaws that occurred in the security controls of K-ISMS were analyzed, and the relative impact of each security control was measured. Additionally, a case-control study was applied using empirical data to eliminate subjective bias as a shortcoming of expert surveys and comparative studies. The security controls were divided into 2 groups depending on whether or not a security flaw occurs. The experimental results show the impact relationship and the severity among security flaws. We expect these results to be applied as good reference indices when making decisions on the removal of security flaws in an enterprise.

배추김치의 저장성에 미치는 감자 첨가의 영향 (Effects of Potato on the Storage of Kimchi)

  • 백재은
    • 한국식품영양학회지
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    • 제20권4호
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    • pp.421-426
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    • 2007
  • This study was carried out to investigate the properties of Kimchi made with potato as compared to Kimchi made with radish. The pH, acidity, hardness, and number of lactic acid bacteria were examined as properties of the Kimchi to determine the suitability of adding the potato and with focus on the possible duration of storage. First in the case of pH, the storage duration at pH $4.2{\sim}4.3$, which is the state for optimal tasting Kimchi, was approximately 10days in the control group, while that of the experimental group was 10 to 16 days, and thus, longer than the control. Second in the case of acidity, representing the maturity of Kimchi, we examined the time it took to reach 0.6% acidity, in which the experimental group took more longer time than the control. Although the experimental group was slower to mature than the control, the period for keeping at the proper pH was longer than that of the control group. Thirdly, in the case of hardness, which relates to softening, the experimental group had remarkably high values. This suggests that the Kimchi in the experimental group had a more rigid texture and more difficultly softening than the control group. Lastly in the case of the number of lactic acid bacteria, which closely relates to the process of fermentation, there were no significant differences. In conclusion, these results indicate that adding potato to Kimchi can extend its storage period.

歸脾湯 및 歸脾湯加味方의 止血效果에 관한 實驗的 硏究 (A Study on the Homostatic Effects of Guipitang and Guipitangjiaweifang Extracts in Experimental Animals)

  • 박인기;김경준
    • 한방안이비인후피부과학회지
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    • 제16권1호
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    • pp.63-76
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    • 2003
  • This Experiment was conducted to investigate the hemostatic effects of Guipitang and Guipitangjiaweifang. For this purpose, the effects of the crude extracts on the platelet count. prothrombin time, fibrinogen level and partial prothromboplastin time were estimated. The rats were divided into normal group, control group and experimental group. Control group was administrated normal saline and experimental group was divided into Sample 1 (Guipitang) and Sample 2 (Guipitangjiaweifang). The results obtained were as follows : 1. The platelet count was significantly increased in both of two samples as compared with the control group. 2. The prothrombin time was significantly shortened in case of Sample 2. however there were no significant changes in case of Sample 1 as compared with the control group. 3. The fibrinogen level was significantly increased in case of Sample 1. however there were no meaningful changes in case of Sample 2 as compared with the control group. 4. The partial prothromboplastin time was significantly shortened in both of two samples as compared with the control group. According to above results. it is supposed that Guipitang and Guipitangjiaweifang have the hemostatic effects in experimental animals.

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공단지역 일부 주민들의 주택유형 및 실내/외에 따른 VOCs(Benzene, Toluene, Xylene) 농도 및 상관성에 관한 연구 (A Study on the Correlation and Concentration in Volatile Organic Compounds(Benzene, Toluene, Xylene) Levels According to the Indoor/Outdoor and the Type of Residents' House in Industrial Area)

  • 이치원;전혜리;홍은주;유승도;김대선;손부순
    • 한국환경보건학회지
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    • 제36권5호
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    • pp.351-359
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    • 2010
  • The objectives of this study were to understand the characteristics of residents in industrial areas and factors affecting exposure to the Volatile Organic Compounds(VOCs : Benzene, Toluene, Xylene) as well as to assess exposure levels according to house-type, and whether residents were indoors or outdoors. This research was designed to assess the differences in exposure levels to indoor, outdoor and personal VOCs in a case group and a control group across all areas, as well as in each different area, from May to October 2007, in. 110 residents of the G, Y and H industrial areas of the Jun-nam province. The geometric mea-levels of airborne benzene for the case group 1.31part per billion(ppb) indoor, 1.29 ppb outdoor, and 1.32 ppb for personal exposure were significantly higher than for the control group 0.99, 0.87 and 0.57 ppb, respectively. The geometric mean level for toluene personal exposure across the G, Y and H areas was 5.70 ppb for the case group and 6.31 ppb for the control group. While the outdoor level was 4.27 ppb for the case group and 5.06 ppb for the control group, The indoor level for the case group was 4.78 ppb, similar to that of the control group 4.69 ppb. The geometric mean levels for airborne xylene across the G, Y and H areas were 0.16 ppb(outdoor), 0.12 ppb(personal exposure) and 0.10 ppb(indoor) for the case group, and for the control group were 0.17(personal exposure) and 0.09 ppb(indoor and outdoor). The indoor/outdoor(I/O) ratio for case group is 1.19, while that of the control group is 1.15, indicating that the indoor level was higher than the outdoor level. The interrelationship differences among the three different types of levels in the air in the G, Y and H areas are statistically significant, except for the difference between the indoor and outdoor figures for xylene. In terms of the different types of houses and energy type uesd, the geometric mean level for airborne benzene, toluene and xylene for houses were 1.61, 5.39 and 0.12 ppb, respectively. while the figures for flats were 0.67, 3.32 and 0.05 ppb, respectively. Outdoors, the levels of benzene and toluene in flats were 0.71 and 2.62 ppb, respectively. and 1.58 and 5.35 ppb in houses. For personal exposure, the house levels of benzene, toluene and xylene were all higher than for flats. Houses using oil for heating have significantly higher levels than flats, which use gas for heating.

시각적 피드백에 따른 발목 움직임 조절 도구를 이용한 자가 운동이 노인의 발목 움직임 조절과 균형 능력에 미치는 영향: 사례 연구 (The Effect of a Self-exercise with Ankle Movement Control Device through Visual Feedback on Ankle Movement and Balance Ability for the Elderly: Case-study)

  • 조선영;신수정
    • 대한지역사회작업치료학회지
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    • 제3권2호
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    • pp.25-32
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    • 2013
  • 목적 : 본 연구는 일반노인에게 시각적 피드백에 따른 발목 움직임 조절 도구를 사용하여 자가 운동을 시행하였을 때 노인의 발목 움직임 조절과 균형능력에 미치는 영향을 알아보고자 하였다. 연구방법 : 이 연구는 사례 연구(case-study)로써, 사전-사후 검사를 실시하였다. 80세인 일반 여성 노인에게 2주 동안 매일 오전, 오후 20분 동안 자가 운동을 실시하였다. 사전, 사후 검사로는 발목 조절 움직임 평가를 위한 Tracking 검사, 균형 능력 측정을 위한 한발로 서기 시간 측정과 Timed up-And-Go검사를 시행하였다. 결과 : 대상자는 Tracking 검사에서 발목 조절 움직임의 향상을 보였다. 균형 능력 평가에서는 한발로 서기유지 시간은 증가하였으나, Timed up-And-Go검사는 변화가 없었다. 결론 : 시각적 피드백에 따른 발목 조절 움직임 도구를 이용한 자가 운동은 노인의 발목 움직임 조절과 균형을 향상 시켰다.

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태국 사례와의 비교를 통한 한국의 성매매와 성병관리 정책 (Sex Trade and Sexually Transmitted Disease Control Policies in Korea: Comparison to the Case of Thailand)

  • 이정환;이성용;김석호
    • 국제지역연구
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    • 제14권2호
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    • pp.275-296
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    • 2010
  • 이 연구는 성매매특별법 이후 기존의 성병검진정책이 혼선을 빚고 있는 한국의 상황에서 국제적으로 성병감염률 감소의 대표적 모델로 꼽히고 있는 태국 사례의 고찰을 통해 성매매자 및 일반 국민의 성병감염을 방지하는 효과적인 방안을 모색하고자 한다. 이를 위해 이 연구는 먼저 성매매와 성병의 관계에 대한 최근의 논란을 가중시킨 성매매특별법에 대해 중점적으로 살펴보고 아울러 이 법의 시행에 따른 성병관리체계의 변화에 대해 알아본다. 태국 사례와 관련해서는 성행위에 관련된 사회문화적 및 정치경제학적 요인들과 성병관리정책의 연관성을 중심으로 살펴본다. 마지막으로는 태국 사례와의 비교를 바탕으로 성매매특별법하에서 한국의 성병관리체계가 보다 효과적이 될 수 있는 방안들에 대해 구체적으로 살펴본다.